STOCKBRIDGE DIALYSIS CLINIC, LLC – NPI #1811938277
Clinic/Center

STOCKBRIDGE DIALYSIS CLINIC, LLC is an AHC clinic located in STOCKBRIDGE, GA. NPPES has assigned the NPI number 1811938277 to STOCKBRIDGE DIALYSIS CLINIC, LLC on June 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Aug 22, 2020. 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 STOCKBRIDGE DIALYSIS CLINIC, LLC below.

NPI Profile for
STOCKBRIDGE DIALYSIS CLINIC, LLC

NPI Number
1811938277
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
STOCKBRIDGE DIALYSIS CLINIC, LLC
Primary location
7444 HANNOVER PKWY S
SUITE 270
STOCKBRIDGE, GA 30281-9303
Phone: (678) 565-6228 Fax: (678) 565-6246
Mailing address
3588 HIGHWAY 138 SE
PMB 344
STOCKBRIDGE, GA 30281-4171
Phone: (770) 565-6228 Fax: (770) 565-6246
Organization Subpart
No
Authorized Official
MOHAMAD KASSEM
PRESIDENT
Phone: (678) 565-6228
Updated
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 ESRD001247

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.