GREENSBORO DIALYSIS FACILITY L.L.C. NPI 1265420327

NPI Information

NPI: 1265420327
Provider Name: GREENSBORO DIALYSIS FACILITY, L.L.C.
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
CLIA Number: 11D0941077
Address: 1220 SILOAM RD
GREENSBORO, GA
ZIP 30642
Phone: (706) 453-7222

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NPI Details

GREENSBORO DIALYSIS FACILITY, L.L.C. is an end-stage renal disease (esrd) treatment clinic center in Greensboro, GA. GREENSBORO DIALYSIS FACILITY, L.L.C. NPI is 1265420327. The provider is registered as an organization entity type.

The provider's business location address is:

1220 SILOAM RD
GREENSBORO, GA
ZIP 30642-810
Phone: (706) 453-7222
Fax: (706) 453-0022

The provider's authorized official is Debbie S Shirley .
The authorized official title is Administrative Assistant and has the following contact phone number (706) 433-0683.

The CLIA number assigned to this NPI record is 11D0941077 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2005 and was last updated on 12/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	ESRD001127	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	112640	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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