RENALSOUTH OF ST. TAMMANY – NPI #1942209713
Clinic/Center

RENALSOUTH OF ST. TAMMANY is an AHC clinic located in MADISONVILLE, LA. NPPES has assigned the NPI number 1942209713 to RENALSOUTH OF ST. TAMMANY on July 14, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RENALSOUTH OF ST. TAMMANY” is a dba name, the actual legal business name for this organization is RENALSOUTH OF LOUISIANA, LLC. 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 RENALSOUTH OF ST. TAMMANY below.

NPI Profile for
RENALSOUTH OF LOUISIANA, LLC

NPI Number
1942209713
Enumeration Date

(about 21 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
RENALSOUTH OF LOUISIANA, LLC
Doing Business As (dba): RENALSOUTH OF ST. TAMMANY
Primary location
397 HIGHWAY 21
SUITE 602
MADISONVILLE, LA 70447-3407
Phone: (985) 792-5334 Fax: (985) 792-5234
Mailing address
2800 MILAN CT
SUITE 213
BIRMINGHAM, AL 35211-6912
Phone: (205) 943-6700 Fax: (205) 943-6697
Organization Subpart
No
Authorized Official
TOMMY CARTER
CEO
Phone: (205) 943-6700
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)		 LA 145

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.