MONTEZUMA DIALYSIS
NPI 1144298373
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Montezuma, GA

Q: What is DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1144298373. It was assigned to this organization in the NPPES registry on March 14, 2006. The provider is doing business as Montezuma Dialysis.

Q: What is DVA Renal Healthcare 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 March 14, 2006

114 DEVAUGHN AVE, MONTEZUMA, GA 31063(478) 472-7099(478) 472-7128 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2020, Apr 1, 2019 (2 updates tracked since 2019).

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About Montezuma Dialysis NPPES

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

MONTEZUMA DIALYSIS (NPI 1144298373) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Montezuma, Georgia and active in the NPI registry since March 2006. The organization lists John Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1144298373

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDVA RENAL HEALTHCARE INC

Location Address114 DEVAUGHN AVEMontezuma, GA 31063-1708

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4268 · Fax (877) 238-0567

Phone(478) 472-7099

Fax(478) 472-7128

Organization SubpartNo

Authorized OfficialJohn WinstelChief Accounting Officer · (253) 733-4501

Enumeration DateMarch 14, 2006

Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2020

✔ NPI 1144298373 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 · ESRD001219

114 DEVAUGHN AVE, Montezuma, GA 31063

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Other Names 1

Doing Business AsMontezuma Dialysis

Other Identifiers 1

Medicaid000966523AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1144298373. It was assigned to this organization in the NPPES registry on March 14, 2006. The provider is doing business as Montezuma Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 114 Devaughn Ave, Montezuma, GA 31063. The listed phone number is (478) 472-7099.

What is DVA Renal Healthcare 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.

What insurance does DVA Renal Healthcare Inc accept?

Health plans from CareSource list DVA Renal Healthcare 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 DVA Renal Healthcare Inc was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.