FRESENIUS MEDICAL CARE COLLEGE PARK
NPI 1174683577
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in College Park, GA

Active since December 08, 2006CLIA 11D1036835 · Waiver
3/5
Overall Rating
2545 SULLIVAN RD, COLLEGE PARK, GA 30337(404) 591-2022(404) 591-2025 Get Directions Write a Review

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

Record update history: Oct 16, 2023, Aug 7, 2021, Nov 16, 2020 and 1 more (4 updates tracked since 2019).

About Fresenius Medical Care College Park NPPES

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

FRESENIUS MEDICAL CARE COLLEGE PARK (NPI 1174683577) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in College Park, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1174683577
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCOLLEGE PARK DIALYSIS, LLC
Location Address2545 SULLIVAN RDCollege Park, GA 30337-6203
Mailing Address2545 Sullivan RdCollege Park, GA 30337-6203 · (404) 591-2022 · Fax (404) 591-2025
Fax(404) 591-2025
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateDecember 8, 2006
Last NPPES UpdateOctober 16, 20234 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1174683577 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
2545 SULLIVAN RD, College Park, GA 30337

Other Names 1

Doing Business AsFresenius Medical Care College Park

Other Identifiers 1

Medicaid493330054AGA

Accepted 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 11D1036835

College Park Dialysis Center LLC · College Park, GA
Active · expires Feb 9, 2027
CLIA Number11D1036835
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorEdward Frederickson
Laboratory Phone(770) 495-7987
Laboratory LocationCollege Park Dialysis Center LLC2545 Sullivan Road, College Park, GA 30337
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 Fresenius Medical Care College Park (CMS certification number 112750), from CMS Care Compare.

Fresenius Medical Care College Park

Dialysis facility · College Park, GA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainFresenius Medical Care
CMS Certification Number112750
ESRD NetworkNetwork 6
Hemodialysis Stations18
Medicare-Certified SinceJune 29, 2005
Location2545 SULLIVAN ROADCollege Park, GA 30337 · Fulton County
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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 College Park Dialysis, LLC's NPI number?

The NPI number for College Park Dialysis, LLC is 1174683577. It was assigned to this organization in the NPPES registry on December 8, 2006. The provider is doing business as Fresenius Medical Care College Park.

Where is College Park Dialysis, LLC located?

College Park Dialysis, LLC is located at 2545 Sullivan Rd, College Park, GA 30337. The listed phone number is (404) 591-2022.

What is College Park Dialysis, 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 College Park Dialysis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1036835) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is College Park Dialysis, LLC a Medicare-certified dialysis facility?

Yes. Fresenius Medical Care College Park is a Medicare-certified dialysis facility, certified since June 29, 2005.

What quality rating does College Park Dialysis, LLC have?

CMS rates Fresenius Medical Care College Park 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does College Park Dialysis, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 7 other insurers list College Park Dialysis, LLC 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 College Park Dialysis, LLC 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.