Organization · Type 2 NPI

Renal Treatment Centers Mid Atlantic Inc

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

NPI number 1215906250 Active

Practice location

1216 Stark Ave
Columbus, GA 31906-2500

Call (706) 320-0103 Map

Fax (706) 320-1906

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	ESRD001237 (GA)

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

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NPI record

NPI: 1215906250
Entity type: Organization (Type 2)
Issued: Mar 14, 2006
Last updated: Feb 6, 2026
Status: Active

Other names

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West Georgia Dialysis · doing business as
West Georgia Dialysis · doing business as

Authorized official

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

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About NPI 1215906250

Renal Treatment Centers Mid Atlantic Inc's National Provider Identifier is 1215906250, 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 Columbus, GA. The record was last updated on Feb 6, 2026.