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NORTHWEST GEORGIA DIALYSIS
NPI 1134637747
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Canton, GA

Active since January 17, 2018CLIA 11D1049190 · Waiver
3/5
Overall Rating
260 HOSPITAL RD, CANTON, GA 30114(678) 880-3939(770) 479-9466 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northwest Georgia Dialysis NPPES

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

NORTHWEST GEORGIA DIALYSIS (NPI 1134637747) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Canton, Georgia and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists James Hilger, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1134637747
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameISD RENAL INC
Location Address260 HOSPITAL RDCanton, GA 30114-2409
Mailing Address5200 Virginia WayBrentwood, TN 37027-7569 · (615) 320-4286 · Fax (866) 594-2893
Phone(678) 880-3939
Fax(770) 479-9466
Organization SubpartNo
Authorized OfficialJames HilgerChief Accounting Officer · (253) 733-4500
Enumeration DateJanuary 17, 2018
✔ NPI 1134637747 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
License✔ Licensed in GA · ESRD001260
260 HOSPITAL RD, Canton, GA 30114
Open in Google Maps ↗

Other Names 1

Doing Business AsNorthwest Georgia Dialysis

Other Identifiers 1

Medicaid000410033BGA

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 11D1049190

Northwest Georgia Dialysis · Canton, GA
Active · expires Dec 27, 2027
CLIA Number11D1049190
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorNajam Sabreen
Laboratory Phone(770) 495-7987
Laboratory LocationNorthwest Georgia Dialysis260 Hospital Road, Canton, GA 30114
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Northwest Georgia Dialysis (CMS certification number 112765), from CMS Care Compare.

DaVita Northwest Georgia Dialysis

Dialysis facility · Canton, GA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number112765
ESRD NetworkNetwork 6
Hemodialysis Stations19
Medicare-Certified SinceApril 5, 2006
Location260 HOSPITAL ROADCanton, GA 30114 · Cherokee County
Phone(678) 880-3939
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELAINE CHARLOTTE SIMMS LCSW
Social Worker (Clinical)
260 HOSPITAL RD
CANTON, GA 30114
Cherokee County (678) 880-3939
ISD CANTON LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
260 HOSPITAL RD
CANTON, GA 30114
Cherokee County (678) 880-3939

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 Isd Renal Inc's NPI number?

The NPI number for Isd Renal Inc is 1134637747. It was assigned to this organization in the NPPES registry on January 17, 2018. The provider is doing business as Northwest Georgia Dialysis.

Where is Isd Renal Inc located?

Isd Renal Inc is located at 260 Hospital Rd, Canton, GA 30114. The listed phone number is (678) 880-3939.

What is Isd Renal 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 Isd Renal Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1049190) is associated with this NPI, valid through December 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Isd Renal Inc a Medicare-certified dialysis facility?

Yes. DaVita Northwest Georgia Dialysis is a Medicare-certified dialysis facility, certified since April 5, 2006.

What quality rating does Isd Renal Inc have?

CMS rates DaVita Northwest Georgia Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Isd Renal Inc was last updated on January 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.