SOUTHERN RENAL GROUP INC. NPI 1376593319

NPI Information

  • NPI: 1376593319
  • Provider Name: SOUTHERN RENAL GROUP, INC.
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: LINDBERGH DIALYSIS CENTER
  • Address: 2695 BUFORD HWY NE
    SUITE 108
    ATLANTA, GA
    ZIP 30324
  • Phone: (404) 315-0605

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NPI Details

SOUTHERN RENAL GROUP, INC. is an end-stage renal disease (esrd) treatment clinic center in Atlanta, GA. SOUTHERN RENAL GROUP, INC. NPI is 1376593319. The provider is registered as an organization entity type.
The provider Is Doing Business As Lindbergh Dialysis Center.

The provider's business location address is:

2695 BUFORD HWY NE
SUITE 108
ATLANTA, GA
ZIP 30324-278
Phone: (404) 315-0605
Fax: (404) 315-0607

The provider's authorized official is Benedict Ehirim .
The authorized official title is President and has the following contact phone number (404) 315-0605.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/22/2020.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment001254GEORGIAYes

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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