Active NPI
Satellite Wellbound of Newnan, LLC
Doing business as Satellite Wellbound of Newnan
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Newnan, GA
National Provider Identifier
1992261937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SATELLITE WELLBOUND OF NEWNAN, LLC
- Doing business as
- Satellite Wellbound of Newnan
- Practice address
- 2680 Highway 34 E Ste B
Newnan, GA 30265-1330 - Phone
- (770) 756-8400
- Fax
- (770) 727-6110
- NPI assigned
- Feb 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Williams
- Title
- Ceo
- Phone
- (650) 404-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2680 Highway 34 E Ste B
Newnan, GA 30265-1330
Mailing address
PO Box 45867
San Francisco, CA 94145-0867
Phone (480) 436-2496
Other names 1
- Satellite Wellbound of Newnan
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Satellite Healthcare Jamestown
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jamestown, CA
- NPI 1649241720
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1992261937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45867",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941450867",
"telephone_number": "480-436-2496",
"fax_number": "480-692-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 HIGHWAY 34 E STE B",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651330",
"telephone_number": "770-756-8400",
"fax_number": "770-727-6110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATELLITE WELLBOUND OF NEWNAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-14",
"last_updated": "2023-08-16",
"certification_date": "2023-08-15",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "650-404-3600"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Satellite Wellbound of Newnan",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Satellite Wellbound of Newnan",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.