ATHENS KIDNEY CENTER P.C. NPI 1699286526

NPI Information

NPI: 1699286526
Provider Name: ATHENS KIDNEY CENTER P.C.
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: EATONTON KIDNEY CENTER
CLIA Number: 11D1056455
Address: 103 N WASHINGTON AVE
EATONTON, GA
ZIP 31024
Phone: (706) 543-6397

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NPI Details

ATHENS KIDNEY CENTER P.C. is an end-stage renal disease (esrd) treatment clinic center in Eatonton, GA. ATHENS KIDNEY CENTER P.C. NPI is 1699286526. The provider is registered as an organization entity type.
The provider Is Doing Business As Eatonton Kidney Center.

The provider's business location address is:

103 N WASHINGTON AVE
EATONTON, GA
ZIP 31024-142
Phone: (706) 543-6397

The provider's authorized official is Valarie Lumpkin .
The authorized official title is Administrative Assistant and has the following contact phone number (706) 543-6397.

The CLIA number assigned to this NPI record is 11D1056455 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2017 and was last updated on 9/16/2019.

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			Yes

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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