LOUISVILLE DIALYSIS CLINIC-PEACHTREE LLC
NPI 1154729028
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Louisville, GA

Q: What is Louisville Dialysis Clinic-Peachtree LLC'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 December 09, 2014

1069 PEACHTREE ST, LOUISVILLE, GA 30434(478) 625-9566(478) 625-9567 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Louisville Dialysis Clinic-peachtree Llc NPPES

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

LOUISVILLE DIALYSIS CLINIC-PEACHTREE LLC (NPI 1154729028) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Louisville, Georgia and active in the NPI registry since December 2014. The organization lists Jonathan Wilcox, Cfo, as its authorized official.

NPPES Registry Identity

NPI1154729028

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameLOUISVILLE DIALYSIS CLINIC-PEACHTREE LLC

Location Address1069 PEACHTREE STLouisville, GA 30434-1558

Mailing Address1069 Peachtree StLouisville, GA 30434-1558 · (478) 625-9566 · Fax (478) 625-9567

Phone(478) 625-9566

Fax(478) 625-9567

Organization SubpartNo

Authorized OfficialJonathan WilcoxCfo · (978) 922-3080

Enumeration DateDecember 9, 2014

Last NPPES UpdateMarch 16, 2017

✔ NPI 1154729028 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

1069 PEACHTREE ST, Louisville, GA 30434

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Other Identifiers 2

Medicare OSCAR/certification112652TN

Medicaid000814184AGA

Medical Equipment Supplier Medicare DMEPOS 27

Medicare supplier enrollment and the product categories Louisville Drug Company carries, from the Medicare DMEPOS supplier directory.

Louisville Drug Company

DMEPOS supplier · Louisville, GAOperated by Gloria E Machalk

✔

Accepts Medicare assignment

Louisville Drug Company agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20641859

Medicare Participant SinceJanuary 1, 1998

Supplier Location101 E Broad StLouisville, GA 30434

Phone(478) 625-7674

Supplier Specialties

Certified Other Pharmacy

Medicare Product Categories

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

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

1069 PEACHTREE ST
LOUISVILLE, GA 30434

Jefferson County (478) 625-9566

RAI CARE CENTERS OF GEORGIA I LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

1069 PEACHTREE ST
LOUISVILLE, GA 30434

Jefferson County (478) 625-9566

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 Louisville Dialysis Clinic-Peachtree LLC's NPI number?

The NPI number for Louisville Dialysis Clinic-Peachtree LLC is 1154729028. It was assigned to this organization in the NPPES registry on December 9, 2014.

Where is Louisville Dialysis Clinic-Peachtree LLC located?

Louisville Dialysis Clinic-Peachtree LLC is located at 1069 Peachtree St, Louisville, GA 30434. The listed phone number is (478) 625-9566.

What is Louisville Dialysis Clinic-Peachtree LLC'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 Louisville Dialysis Clinic-Peachtree LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Louisville Drug Company accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Louisville Dialysis Clinic-Peachtree LLC was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.