EMORY DIALYSIS, LLC
NPI 1225552391
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Decatur, GA

Active since August 01, 2017CLIA 11D2138805 · Waiver
2165 N DECATUR RD, DECATUR, GA 30033(404) 251-2330(404) 251-2331 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, Aug 1, 2017 (2 updates tracked since 2017).

About Emory Dialysis, Llc NPPES

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

EMORY DIALYSIS, LLC (NPI 1225552391), doing business as Emory Dialysis At North Decatur, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Decatur, Georgia and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Kimberly Agee-clark Johnson, Credentialing Coord., as its authorized official.

NPPES Registry Identity

NPI1225552391
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameEMORY DIALYSIS, LLC
Location Address2165 N DECATUR RDDecatur, GA 30033-5307
Mailing AddressPo Box 7710Tifton, GA 31793-7710 · (229) 387-3528 · Fax (229) 386-2149
Fax(404) 251-2331
Organization SubpartNo
Authorized OfficialKimberly Agee-clark JohnsonCredentialing Coord. · (229) 387-3528
Enumeration DateAugust 1, 2017
Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
NPI 1225552391 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
2165 N DECATUR RD, Decatur, GA 30033

Other Names 1

Doing Business AsEmory Dialysis At North Decatur

Other Identifiers 1

Medicaid003205167AGA

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 11D2138805

Emory Dialysis At North Decatur · Decatur, GA
Active · expires Oct 24, 2027
CLIA Number11D2138805
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorDr. Jeff M. Sands
Laboratory Phone(404) 251-2330
Laboratory LocationEmory Dialysis At North Decatur2165 North Decatur Road, Suite 100, Decatur, GA 30033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
2165 N DECATUR RD
DECATUR, GA 30033
Genetic Counselor, MS
2165 N DECATUR RD
DECATUR, GA 30033
Genetic Counselor, MS
2165 N DECATUR RD, DIVISION OF MEDICAL GENETICS
DECATUR, GA 30033
Dietitian, Registered (Nutrition, Metabolic)
2165 N DECATUR RD
DECATUR, GA 30033
Genetic Counselor, MS
2165 N DECATUR RD
DECATUR, GA 30033
Genetic Counselor, MS
2165 N DECATUR RD
DECATUR, GA 30033
Clinical Medical Laboratory
2165 N DECATUR RD
DECATUR, GA 30033
Counselor
2165 N DECATUR RD
DECATUR, GA 30033

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 Emory Dialysis, LLC's NPI number?

The NPI number for Emory Dialysis, LLC is 1225552391. It was assigned to this organization in the NPPES registry on August 1, 2017. The provider is doing business as Emory Dialysis at North Decatur.

Where is Emory Dialysis, LLC located?

Emory Dialysis, LLC is located at 2165 N Decatur Rd, Decatur, GA 30033. The listed phone number is (404) 251-2330.

What is Emory 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 Emory Dialysis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2138805) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Emory 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 1 other insurer list Emory 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 Emory Dialysis, LLC was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.