FRESENIUS KIDNEY CARE MABLETON – NPI #1811419567
Clinic/Center

FRESENIUS KIDNEY CARE MABLETON is an AHC clinic located in MABLETON, GA. NPPES has assigned the NPI number 1811419567 to FRESENIUS KIDNEY CARE MABLETON on July 14, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FRESENIUS KIDNEY CARE MABLETON” is a dba name, the actual legal business name for this organization is BIO-MEDICAL APPLICATIONS OF GEORGIA, 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 5 years ago on Aug 28, 2021. 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 FRESENIUS KIDNEY CARE MABLETON below.

NPI Profile for
BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.

NPI Number
1811419567
Enumeration Date

(about 9 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
BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.
Doing Business As (dba): FRESENIUS KIDNEY CARE MABLETON
Primary location
1338 VETERANS MEMORIAL HWY SW STE 200
MABLETON, GA 30126-3116
Phone: (770) 732-1433 Fax: (770) 732-1685
Mailing address
Same as primary location
Organization Subpart
Yes - FRESENIUS KIDNEY CARE MABLETON is subpart of another organization.
Authorized Official
BARRY BLANTON
VICE PRESIDENT
Phone: (781) 699-9000
Updated
Certification Date
Aug 28, 2021

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 FRESENIUS KIDNEY CARE MABLETON

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
MEDICAIDGA003202580A
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)

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.