NPI age
20 years
Enumerated 2006-05-26
● Active Type 2 · Organization
Subpart
Nra MacOn Georgia Llc
Nra MacOn Georgia Llc is 1 of 563 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sundock
Vice President
Last NPPES update
2015-07-22
Source: monthly bulk 2026-05
How this organization compares
Across 563 active clinic/center providers in Georgia.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2525 2nd St
MacOn, GA 312062223
Mailing address
1550 W. McEwen Drive, Suite 500
Franklin, TN 370671731
Authorized official
Jon M. Sundock
Vice President
📞 6155073307
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Franklin Fuenmayor-Cardozo, M.D. Internal Medicine NPI 1467659854
- Courtney Reeves, AGNP-C Nurse Practitioner NPI 1073999132
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 813786518A | |
| 01 (GA) | 11D1049748 | CLIA CERTIFICATE OF WAIVE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Eisenhower Parkway Dialysis Center
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Rai Ii, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.