Dialysis Clinic Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

ESRD001029 Issued in GA

Legal business name

DIALYSIS CLINIC INC.

Practice address

240 Ponce de Leon Ave NE
Atlanta, GA 30308-1938

Phone

(404) 888-4530

Fax

(404) 888-4539

NPI assigned

Jul 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

DCI - Crawford Long 016CCN 852512

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Jul 11, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dialysis Clinic, Inc.

Dialysis stations

26

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Frita McRae Fisher, M.D.

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1780873398

  Dialysis facility

  Care Compare affiliation Name & address match
• Charles B Hunter, MD

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1659467140

  Dialysis facility

  Care Compare affiliation Name & address match
• Roderic L. Woodson II, M.D.

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1558547943

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1942233424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 NORTHSIDE DR NW STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303188499",
            "telephone_number": "404-230-2959",
            "fax_number": "404-230-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081938",
            "telephone_number": "404-888-4530",
            "fax_number": "404-888-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "GA",
            "license": "ESRD001029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dialysis Access Center of Atlanta
• Dialysis America Georgia, LLC
• Dialysis America Georgia, LLC
• Dialysis Clinic Inc.
• Dialysis Clinic Inc.
• Dialysis Clinic Inc.
• Diamond Senior Services
• Diamond Touch Home Care LLC
• Ivan Diamond, M.D.
• Jamie Elizabeth Diamond

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.