NCG Home Dialysis of Barrow County LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

NCG HOME DIALYSIS OF BARROW COUNTY LLC

Practice address

655 Exchange Blvd
Ste 100
Bethlehem, GA 30620-1767

Phone

(770) 282-1100

Fax

(770) 282-1110

NPI assigned

Oct 24, 2014

Last updated

Oct 1, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. John Ales

Title

Coo

Phone

(770) 282-1100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mazen A Abdalla, M.D.

  • Nephrology Physician
  • Snellville, GA
  • NPI 1467420893
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1982009676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EXCHANGE BLVD",
            "address_2": "SUITE 100",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306201767",
            "telephone_number": "770-282-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EXCHANGE BLVD",
            "address_2": "STE 100",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306201767",
            "telephone_number": "770-282-1100",
            "fax_number": "770-282-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCG HOME DIALYSIS OF BARROW COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "ALES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-282-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice T Messam-Smith, APRN, FNP-BC
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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bethlehem, GA
• Providers in Bethlehem, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.