South Dekalb Dialysis Center

LBN: Georgia Nephrology, Llc
South Dekalb Dialysis Center is an health care organization with primary practice located at 2801 Candler Rd Suite 203, Decatur GA 30034-1423. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Georgia Nephrology, Llc can be contacted via phone (404) 241-0402, or through Dixon, Andrew via phone (770) 981-0558.

Contact Information

Primary practice address
2801 Candler Rd Suite 203 Decatur GA 30034-1423
Phone: (404) 241-0402
Fax: (404) 328-0232
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Andrew Doctor of Medicine (MD)
Phone: (770) 981-0558

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD001212 Georgia

Profile Details

NPI number 1619919966
LBN Legal business name Georgia Nephrology, Llc
DBA Doing business as South Dekalb Dialysis Center
Authorized official Dixon, Andrew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619919966 NPPES
Georgia MEDICAID 00963168A/B

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