LOUISVILLE DIALYSIS CLINIC-PEACHTREE LLC
NPI 1154729028
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Louisville, GA
NPI Status: Active since December 09, 2014
Contact Information
1069 PEACHTREE ST
LOUISVILLE, GA
ZIP 30434
Phone: (478) 625-9566
Fax: (478) 625-9567
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Medicare Supplier
- Accepts Medicare Approved Payment
About LOUISVILLE DIALYSIS CLINIC-PEACHTREE LLC
This page provides the complete NPI Profile along with additional information for Louisville Dialysis Clinic-peachtree Llc, a provider established in Louisville, Georgia operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1154729028 assigned on December 2014. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Jonathan Wilcox (Cfo)
- NPI
- 1154729028
- Provider Name
- LOUISVILLE DIALYSIS CLINIC-PEACHTREE LLC
- Entity Type
- Organization
- Location Address
- 1069 PEACHTREE ST LOUISVILLE, GA 30434
- Location Phone
- (478) 625-9566
- Location Fax
- (478) 625-9567
- Mailing Address
- 1069 PEACHTREE ST LOUISVILLE, GA 30434
- Mailing Phone
- (478) 625-9566
- Mailing Fax
- (478) 625-9567
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-09-2014
- Last Update Date
- 03-16-2017
- Code Navigator
Louisville Dialysis Clinic-peachtree Llc is a medicare supplier with PTAN 20641859 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Hospital Beds (Electric) or Hospital Beds (Manual) or Support Surfaces: Pressure Reducing Beds/Mats/Pads or Canes and/or Crutches or Patient Lifts or Power Operated Vehicles (Scooters) or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchairs (Standard Power) or Wheelchairs (Standard Power Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Off-The-Shelf or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Enteral Nutrients or Nebulizer Equipment and/or Supplies or Surgical Dressings.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112652 | MEDICARE OSCAR/CERTIFICATION (06) | TN | |
| 000814184A | MEDICAID (05) | GA |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20641859
- Accepts Medicare Assignment
- YES
- Specialities List
- Certified Other, Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
- Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
- Hospital Beds (Manual) - Fixed height hospital beds, Variable height hospital beds
- Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Patient Lifts - Ceiling lifts, Slings
- Power Operated Vehicles (Scooters) - Scooters
- Seat Lift Mechanisms - Lift chair
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchairs (Standard Power) - Standard power wheelchairs, Heavy duty standard power wheelchairs
- Wheelchairs (Standard Power Related Accessories) - Accessories for standard power wheelchairs, heavy duty standard power wheelchairs
- Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Tracheotomy Supplies - Tracheostomy care kits
- Urological Supplies - Catheters, Urinary collection devices
- Enteral Nutrients - Enteral formula
- Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154729028, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
LOUISVILLE, GA 30434
LOUISVILLE, GA 30434
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154729028, enumerated as an "organization" on December 09, 2014.
The provider is located at 1069 PEACHTREE ST LOUISVILLE, GA 30434 and the phone number is (478) 625-9566.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
