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Nra Monticello Georgia LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Monticello, GA · enumerated 2006 · authorized official Jon Sundock, Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245287358

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Registry record

Entity type Organization (Type 2)
Legal business name Nra Monticello Georgia LLC
Other name <Unavail>
Practice address 1393 Funderburg Dr, Monticello, GA, 31064
Phone (706) 468-1240
Fax (706) 468-5300
Enumeration date May 27, 2006
Last updated in NPPES Jul 22, 2015

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities · License ESRD001221 (GA) Primary

Authorized official

Name Jon Sundock
Title Vice President
Phone (615) 507-3307

Other identifiers

Identifier Type State Issuer
11D1049750 Other GA CLIA CERTIFICATE OF WAIVE
419934334A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Nra Monticello Georgia LLC?
Nra Monticello Georgia LLC is registered in NPPES as a End-Stage Renal Disease (ESRD) Treatment Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-22.