| NPI | 1285603266 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-03-14 |
| Last Updated | 2025-07-10 |
| Authorized Official | Samuel Wey VP Licensure & Certification Phone: 6153416641 |
| Mailing Address | 5200 Virginia Way, L&c Dept. Brentwood, TN 37027-7569 United States 📍 View Map |
| Primary Practice Address | 301 Peachtree St Jesup, GA 31545-0245 United States Phone: (912) 427-8946 | Fax: (912) 427-3164 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 000410176A | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QE0700X – Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | GA | ESRD001110 |
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About NPI 1285603266
Dva Healthcare Renal Care Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1285603266. The primary specialty listed is Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. The organization is located in Jesup, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-03-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1285603266?
NPI 1285603266 belongs to Dva Healthcare Renal Care Inc, a Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Jesup, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1285603266 active?
The current status of NPI 1285603266 in the NPPES registry is Active. The record was last updated on 2025-07-10.
What specialty is NPI 1285603266?
NPI 1285603266 is classified under the taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1285603266?
You can verify NPI 1285603266 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1285603266?
The primary practice address on file for NPI 1285603266 is 301 Peachtree St, Jesup, GA 31545-0245. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1285603266 issued?
NPI 1285603266 was first issued (enumerated) on 2006-03-14. The NPPES record was last updated on 2025-07-10.
Practice Location Map
Dva Healthcare Renal Care Inc is located at 301 Peachtree St, Jesup, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Dva Healthcare Renal Care Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1285603266. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | ESRD001110 | GA |