EMORY DIALYSIS AT NORTHSIDE (EMORY DIALYSIS, LLC) NPI 1013142843

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) in Atlanta, GA

NPI 1013142843 Organization Clinic/Center End-Stage Renal Disease (ESRD) Treatment CLIA Number 11D1107416 CLIA Certificate of Waiver Overall Rating

About EMORY DIALYSIS AT NORTHSIDE (EMORY DIALYSIS, LLC)

Emory Dialysis At Northside (emory Dialysis, Llc) is a provider established in Atlanta, Georgia specializing in clinic/center (end-stage renal disease (esrd) treatment) . The NPI number of Emory Dialysis At Northside (emory Dialysis, Llc) is 1013142843 and was assigned on May 2009. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Emory Dialysis At Northside. The authorized official of this NPI record is Mr. Adam J Tribbett Jd/mha (Director, Medical Staff Services)

According to the Dialysis Facility Compare program data, Emory Dialysis At Northside has an average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 3 out of 5 stars.

The CLIA number of Emory Dialysis At Northside is 11D1107416 registered as a "end stage renal disease dialysis" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Emory Dialysis At Northside to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1013142843

Provider NameEMORY DIALYSIS AT NORTHSIDE (EMORY DIALYSIS, LLC)
Provider Location Address610 NORTHSIDE DR NW ATLANTA, GA 30318
Provider Mailing AddressPO BOX 116241 ATLANTA, GA 30368
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameEMORY DIALYSIS AT NORTHSIDE
Other Name TypeDoing Business As (3)
Enumeration Date05-22-2009
Last Update Date08-01-2017


Primary Taxonomy

Taxonomy Code261QE0700X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationEnd-Stage Renal Disease (ESRD) Treatment

Business Address

EMORY DIALYSIS AT NORTHSIDE
610 NORTHSIDE DR NW
ATLANTA, GA
ZIP 30318
Phone: (404) 778-1050
Fax: (404) 892-1878

Get Directions


Mailing Address

EMORY DIALYSIS AT NORTHSIDE
PO BOX 116241
ATLANTA, GA
ZIP 30368
Phone: (229) 387-3527
Fax: (229) 386-2149



Authorized Official

Authorized Official NameMR. ADAM J TRIBBETT JD/MHA
Authorized Official TitleDIRECTOR, MEDICAL STAFF SERVICES
Authorized Official Phone(404) 778-5294

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
- 3 out of 5 stars - Average
Dialysis Facility TypeNon-Profit
Is it part of a chain?Yes
Corporate NameEMORY DIALYSIS LLC
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
Yes
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
41
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
Yes
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
Yes
Certification or Recertification Date02-03-2010
Kidney Doctors' Communication and Caring Kidney Doctors' Communication and Caring
Patients who reported that kidney doctors "always" communicated well and cared for them as a person.
66% - - 3 out of 5 stars - Average
Dialysis center staff, care, and operations Dialysis center staff, care, and operations
Patients who reported that dialysis center staff "always" communicated well, kept patients comfortable and pain-free as possible, behaved in a professional manner, and kept the center clean.
61% - - 3 out of 5 stars - Average
Providing Information to Patients Providing Information to Patients
Patients who reported that YES their kidney doctors and dialysis center staff gave them the information they needed to take care of their health.
80% - - 3 out of 5 stars - Average
Rating of Kidney Doctors Rating of Kidney Doctors
Patients who gave their kidney doctors a rating of 9 or 10 on a scale of 0 (worst possible) to 10 (best possible).
61% - - 3 out of 5 stars - Average
Rating of Dialysis Center Staff Rating of Dialysis Center Staff
Patients who gave the dialysis center staff a rating of 9 or 10 on a scale of 0 (worst possible) to 10 (best possible).
55% - - 3 out of 5 stars - Average
Rating of Dialysis Center Rating of Dialysis Center
Patients who gave the dialysis center a rating of 9 or 10 on a scale of 0 (worst possible) to 10 (best possible).
64% - - 3 out of 5 stars - Average

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013142843 is:

CLIA Number11D1107416
Facility TypeEND STAGE RENAL DISEASE DIALYSIS
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
943588192AMEDICAID (05)GA
11-2824MEDICARE PIN (08)GA

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639459407DOWNTOWN ATLANTA MEDICAL CENTER, P.C.
Organization
Anesthesiology (Pain Medicine)610 NORTHSIDE DR NW STE. B
ATLANTA, GA 30318
(404) 419-2050

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.