| LCA CASE NUMBER | I-200-21274-620511 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-01 |
| DECISION DATE | 2021-10-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician - Nephrologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-02-01 |
| END DATE | 2025-01-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Nephrology Inc. |
| TRADE NAME DBA | Kidney Clinic |
| EMPLOYER ADDRESS1 | 1425 Highway 34 E. |
| EMPLOYER CITY | Newnan |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30265 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17703043724 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Givens |
| EMPLOYER POC FIRST NAME | Rachel |
| EMPLOYER POC JOB TITLE | Practice Manager |
| EMPLOYER POC ADDRESS1 | 1425 Highway 34 E. |
| EMPLOYER POC CITY | Newnan |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30265 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17703043424 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | O'Neil |
| AGENT ATTORNEY FIRST NAME | Megan |
| AGENT ATTORNEY MIDDLE NAME | E. |
| AGENT ATTORNEY ADDRESS1 | 314 Town Center Drive |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12486800600 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Piston & Carpenter P.C. |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Davita Peachtree City Dialysis Center |
| WORKSITE ADDRESS1 | 2830 GA-54 |
| WORKSITE ADDRESS2 | Bldg. 100, Suite J |
| LCA CASE WORKLOC1 CITY | Peachtree City |
| WORKSITE COUNTY | FAYETTE |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30269 |
| LCA CASE WAGE RATE FROM | 220000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 215641 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2021 |
| PW SURVEY PUBLISHER | Medical Group Management Association (MGMA) |
| PW SURVEY NAME | Medical Group Management Association: Provider Comp. Report |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bedard |
| PREPARER FIRST NAME | Denise |
| PREPARER BUSINESS NAME | Piston & Carpenter P.C. |
| PREPARER EMAIL | [email protected] |
