Peachtree Dialysis Center, LLC

Primary specialty

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

Legal business name

PEACHTREE DIALYSIS CENTER, LLC

Practice address

3850 Holcomb Bridge Rd Ste 435
Peachtree Corners, GA 30092-2255

Phone

(516) 469-7110

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Martin Babayev, NPNPI 1073059531

Title

Ceo

Phone

(516) 469-7110

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Peachtree Dialysis CenterCCN 852608

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Apr 25, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

20

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Babayev

  • Family Nurse Practitioner
  • Riverdale, GA
  • NPI 1073059531
  NPD Authorized official

Affiliated clinicians 1

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

• Nirav Parikh

  • Hospitalist Physician
  • Gainesville, GA
  • NPI 1811331184

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698451200000",
    "number": "1992427231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD STE 435",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922255",
            "telephone_number": "516-469-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD STE 435",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922255",
            "telephone_number": "516-469-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2023-10-28",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "BABAYEV",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-469-7110",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073059531",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April A Patterson
• Pca Elite
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• Peachtree Corners Chiropractic Plus LLC
• Peachtree Corners Dental Associates
• Pediatric Services of America, LLC
• Pedsmd LLC
• Allison R Peklansky, D.O.
• Peregrine Worx
• Pharmrx

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Peachtree Corners, GA
• Providers in Peachtree Corners, 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 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.