FRESENIUS MEDICAL CARE DEFUNIAK SPRINGS
NPI 1053587691
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Defuniak Springs, FL

Q: What is Renal Care Group Of The Southeast, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since May 04, 2008CLIA 10D1086301 · Waiver

43 SHOEMAKER DR, DEFUNIAK SPRINGS, FL 32433(850) 892-2119(850) 892-2314 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, Aug 3, 2021 (2 updates tracked since 2021).

On this page

About Fresenius Medical Care Defuniak Springs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESENIUS MEDICAL CARE DEFUNIAK SPRINGS (NPI 1053587691) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Defuniak Springs, Florida and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1053587691

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameRENAL CARE GROUP OF THE SOUTHEAST, INC.

Location Address43 SHOEMAKER DRDefuniak Springs, FL 32433-4046

Mailing Address43 Shoemaker DrDefuniak Springs, FL 32433-4046 · (850) 892-2119 · Fax (850) 892-2314

Phone(850) 892-2119

Fax(850) 892-2314

Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.

Authorized OfficialBarry L. BlantonVice President · (781) 699-9000

Enumeration DateMay 4, 2008

Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1053587691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

43 SHOEMAKER DR, Defuniak Springs, FL 32433

Open in Google Maps ↗

Other Names 1

Doing Business AsFresenius Medical Care Defuniak Springs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1086301

Fresenius Medical Care Defuniak Springs · Defuniak Springs, FL

Active · expires Jul 8, 2028

CLIA Number10D1086301

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJuly 9, 2026

Certificate Expiration DateJuly 8, 2028

Laboratory DirectorBenjamin Huang

Laboratory Phone(850) 892-2119

Laboratory LocationFresenius Medical Care Defuniak Springs43 Shoemaker Dr, Defuniak Springs, FL 32433

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renal Care Group Of The Southeast, Inc.'s NPI number?

The NPI number for Renal Care Group Of The Southeast, Inc. is 1053587691. It was assigned to this organization in the NPPES registry on May 4, 2008. The provider is doing business as Fresenius Medical Care Defuniak Springs.

Where is Renal Care Group Of The Southeast, Inc. located?

Renal Care Group Of The Southeast, Inc. is located at 43 Shoemaker Dr, Defuniak Springs, FL 32433. The listed phone number is (850) 892-2119.

What is Renal Care Group Of The Southeast, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Renal Care Group Of The Southeast, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1086301) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renal Care Group Of The Southeast, Inc. accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Renal Care Group Of The Southeast, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renal Care Group Of The Southeast, Inc. was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.