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DEMOREST DIALYSIS FACILITY, L.L.C.
NPI 1215925375
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Demorest, GA

Active since October 12, 2005
1507 CENTRAL AVE, DEMOREST, GA 30535(706) 433-0683(706) 369-1478 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Demorest Dialysis Facility, L.l.c. NPPES

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

DEMOREST DIALYSIS FACILITY, L.L.C. (NPI 1215925375) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Demorest, Georgia and active in the NPI registry since October 2005. The organization lists Kristy W Duncan, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1215925375
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDEMOREST DIALYSIS FACILITY, L.L.C.
Location Address1507 CENTRAL AVEDemorest, GA 30535-4555
Mailing AddressPo Box 6385Athens, GA 30604-6385 · (706) 546-0083 · Fax (706) 613-9205
Phone(706) 433-0683
Fax(706) 369-1478
Organization SubpartNo
Authorized OfficialKristy W DuncanBilling Specialist · (706) 433-0683
Enumeration DateOctober 12, 2005
Last NPPES UpdateMarch 15, 2011
✔ NPI 1215925375 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 · ESRD001213
1507 CENTRAL AVE, Demorest, GA 30535
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Other Identifiers 2

Medicare ID-Type Unspecified112713GA
Medicaid885141164AGA

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 Demorest Dialysis Facility, L.L.C.'s NPI number?

The NPI number for Demorest Dialysis Facility, L.L.C. is 1215925375. It was assigned to this organization in the NPPES registry on October 12, 2005.

Where is Demorest Dialysis Facility, L.L.C. located?

Demorest Dialysis Facility, L.L.C. is located at 1507 Central Ave, Demorest, GA 30535. The listed phone number is (706) 433-0683.

What is Demorest Dialysis Facility, L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Demorest Dialysis Facility, L.L.C. was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.