Active NPI
Atlantic Kidney Centers Inc
- Nephrology Physician
- West Palm Beach, FL
National Provider Identifier
1881675239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- ATLANTIC KIDNEY CENTERS INC
- Practice address
- 4700 N Congress Ave
Ste 104
West Palm Beach, FL 33407-3282 - Phone
- (561) 845-2888
- Fax
- (561) 845-7282
- NPI assigned
- Nov 10, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marietta Holmes
- Title
- Administrator
- Phone
- (561) 845-2888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
4700 N Congress Ave
Ste 104
West Palm Beach, FL 33407-3282
Mailing address
4700 N Congress Ave
Ste 104
West Palm Beach, FL 33407-3282
Phone (561) 845-2888
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Atlantic Kidney Centers LLC
- Overall star rating
- Ownership
- Profit
- Certified
- Nov 18, 1996
- Medicare certification status
- Active
- Chain
- American Renal Associates
- Dialysis stations
- 20
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0918587 | Atlantic Kidney Centers Inc | Certificate of waiver | Aug 12, 2026 |
National Provider Directory
National Provider DirectoryLocations
4700 N Congress Ave
Ste 104
West Palm Beach, FL 33407
Phone (561) 845-2888
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881675239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 N CONGRESS AVE",
"address_2": "STE 104",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073282",
"telephone_number": "561-845-2888",
"fax_number": "561-845-7282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 N CONGRESS AVE",
"address_2": "STE 104",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073282",
"telephone_number": "561-845-2888",
"fax_number": "561-845-7282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC KIDNEY CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "MARIETTA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "561-845-2888",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- Atlantic Coastal Medical Supplies,LLC
- Atlantic Health, LLC (Atlantic Pain Relief Center)
- Atlantic Healthcare Products Inc. (Atlantic Accessibility)
- Atlantic Home Health Agency of South Florida, LLC (Concierge Home Care)
- Atlantic Kidney Center LLC
- Atlantic Labs DX (Atlantic Diagnostic Solutions)
- Atlantic Saury Inpatient Services LLC
- Atlas Joint and Spine Center
- Atpb LLC (Summit Elite Medical , LLC)
- Atwal Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.