Organization 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
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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

Updated by the provider on Aug 16, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.