Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1447229422 Active

Practice location

1757 Candler Rd
Decatur, GA 30032-3276

Call (404) 289-2313 Map

Fax (404) 289-2450

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	ESRD001008 (GA)

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

Other end-stage renal disease (esrd) treatment clinic/center providers in Decatur

See all in Decatur →

NPI record

NPI: 1447229422
Entity type: Organization (Type 2)
Issued: Mar 14, 2006
Last updated: Aug 20, 2026
Status: Active

Other names

<unavail>
Eastlake Dialysis · doing business as
Eastlake 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.

Is this your record? How to update it.

About NPI 1447229422

Dva Healthcare Renal Care Inc's National Provider Identifier is 1447229422, 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 Decatur, GA. The record was last updated on Aug 20, 2026.