NPI age
19 years
Enumerated 2006-05-27
● Active Type 2 · Organization
Nra Monticello Georgia Llc
Nra Monticello 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
19 years
↑ 2 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
1393 Funderburg Dr
Monticello, GA 310646818
Mailing address
1550 W. McEwen Drive, Suite 500
Franklin, TN 370671731
Authorized official
Jon M. Sundock
Vice President
📞 6155073307
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11D1049750 | CLIA CERTIFICATE OF WAIVE |
| 05 (GA) | 419934334A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Monticello Dialysis Center
Practice context
Single-site organization. Only one practice location on file.
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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.