NEPHROLOGY CENTER OF SOUTH AUGUSTA – NPI #1194784314
Clinic/Center

NEPHROLOGY CENTER OF SOUTH AUGUSTA is an AHC clinic located in AUGUSTA, GA. NPPES has assigned the NPI number 1194784314 to NEPHROLOGY CENTER OF SOUTH AUGUSTA on March 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NEPHROLOGY CENTER OF SOUTH AUGUSTA” is a dba name, the actual legal business name for this organization is TOTAL RENAL CARE INC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 4 years ago on Jul 19, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEPHROLOGY CENTER OF SOUTH AUGUSTA below.

NPI Profile for
TOTAL RENAL CARE INC

NPI Number
1194784314
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TOTAL RENAL CARE INC
Doing Business As (dba): NEPHROLOGY CENTER OF SOUTH AUGUSTA
Primary location
1631 GORDON HWY
STE 1B
AUGUSTA, GA 30906
Phone: (706) 790-8300 Fax: (706) 790-9944
Mailing address
5200 VIRGINIA WAY
BRENTWOOD, TN 37027-7569
Phone: (615) 320-4268 Fax: (877) 238-0567
Organization Subpart
No
Authorized Official
JOHN WINSTEL
CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4501
Updated
Certification Date
Jul 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NEPHROLOGY CENTER OF SOUTH AUGUSTA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000891723A
MEDICAIDSC125608
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)
GA ESRD000997

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.