Active NPI
Nephrology Centers of America, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Louisville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- NEPHROLOGY CENTERS OF AMERICA, LLC
- Practice address
- 1201 Peachtree St
Louisville, GA 30434-1543 - Phone
- (478) 625-3311
- Fax
- (478) 625-3555
- NPI assigned
- Nov 1, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. Don E Williamson, M.D.
- Title
- President
- Phone
- (706) 722-6900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1201 Peachtree St
Louisville, GA 30434-1543
Mailing address
1303 Dantignac St
Augusta, GA 30901-2775
Phone (706) 722-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00950617C | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1201 Peachtree St
Louisville, GA 30434
Phone (478) 625-3311
817 Peachtree St
Louisville, GA 30434
Phone (478) 625-3311
Practitioners & affiliated clinicians
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.
-
- Nephrology Physician
- Augusta, GA
- NPI 1912984790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992882377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 DANTIGNAC ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012775",
"telephone_number": "706-722-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 PEACHTREE ST",
"city": "LOUISVILLE",
"state": "GA",
"postal_code": "304341543",
"telephone_number": "478-625-3311",
"fax_number": "478-625-3555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY CENTERS OF AMERICA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILLIAMSON",
"authorized_official_first_name": "DON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-722-6900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00950617C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.