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VALDOSTA KIDNEY CLINIC, LLC
NPI 1215109087
Specialist in Valdosta, GA

Active since April 01, 2008
410 COWART AVE, VALDOSTA, GA 31602(229) 244-6544(229) 241-9744 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Valdosta Kidney Clinic, Llc NPPES

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

VALDOSTA KIDNEY CLINIC, LLC (NPI 1215109087) is a healthcare organization registered as a specialist in Valdosta, Georgia and active in the NPI registry since April 2008. The organization lists Maria Ester Chiang, Manager, as its authorized official.

NPPES Registry Identity

NPI1215109087
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameVALDOSTA KIDNEY CLINIC, LLC
Location Address410 COWART AVEValdosta, GA 31602-2622
Mailing AddressPo Box 2267Valdosta, GA 31604-2267 · (229) 244-6544 · Fax (229) 241-9744
Phone(229) 244-6544
Fax(229) 241-9744
Organization SubpartNo
Authorized OfficialMaria Ester ChiangManager · (229) 244-6544
Enumeration DateApril 1, 2008
Last NPPES UpdateApril 5, 2012
✔ NPI 1215109087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 054594
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
410 COWART AVE, Valdosta, GA 31602
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Other Identifiers 3

OtherGRP6735Medicare Id
OtherDC4801GA · Railroad Medicare Group
Medicare UPINF67367GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Valdosta Kidney Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Valdosta Kidney Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ven Chiang, MD
Nephrology
NPI 1447367453
410 COWART AVE
Valdosta, GA 31602
(229) 244-6544
✔ PECOS✔ Accepts Medicare0.1 mi
Haley Justus, R.D., L.D.N.
Registered Dietitian or Nutrition Professional
NPI 1861896672
100 HOSPITAL DR
Hendersonville, NC 28792
(828) 681-2750
315 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Valdosta Kidney Clinic, LLC's NPI number?

The NPI number for Valdosta Kidney Clinic, LLC is 1215109087. It was assigned to this organization in the NPPES registry on April 1, 2008.

Where is Valdosta Kidney Clinic, LLC located?

Valdosta Kidney Clinic, LLC is located at 410 Cowart Ave, Valdosta, GA 31602. The listed phone number is (229) 244-6544.

What is Valdosta Kidney Clinic, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Valdosta Kidney Clinic, LLC enrolled in Medicare?

Yes. Valdosta Kidney Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Valdosta Kidney Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Valdosta Kidney Clinic, LLC, in Nephrology and Registered Dietitian or Nutrition Professional. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Valdosta Kidney Clinic, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Valdosta Kidney Clinic, 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 Valdosta Kidney Clinic, LLC was last updated on April 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.