Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Springfield, GA

NPI number 1174592174 Active

Practice location

1451 Ga Highway 21 S Ste A
Springfield, GA 31329-5244

Call (912) 754-4289 Map

Fax (912) 754-6564

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	ESRD001022 (GA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1174592174
Entity type: Organization (Type 2)
Issued: Mar 14, 2006
Last updated: Aug 28, 2026
Status: Active

Other names

<unavail>
Effingham North Dialysis · doing business as
Effingham North Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174592174

Dva Renal Healthcare Inc's National Provider Identifier is 1174592174, issued on Mar 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Springfield, GA. The record was last updated on Aug 28, 2026.