FORT VALLEY DIALYSIS CENTER LLC
NPI 1235649765
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fort Valley, GA

Active since October 11, 2017CLIA Certified · 2 labs
2/5
Overall Rating
135 AVERA DR, FORT VALLEY, GA 31030(478) 827-0776(478) 827-0699 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 27, 2026, Jan 13, 2023, Aug 18, 2022 and 3 more (6 updates tracked since 2017).

About Fort Valley Dialysis Center Llc NPPES

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

FORT VALLEY DIALYSIS CENTER LLC (NPI 1235649765) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fort Valley, Georgia and active in the NPI registry since October 2017. The organization holds 2 active CLIA laboratory certificates and lists Sara Anne Brady, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1235649765
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFORT VALLEY DIALYSIS CENTER LLC
Location Address135 AVERA DRFort Valley, GA 31030-5007
Mailing Address135 Avera DrFort Valley, GA 31030-5007 · (478) 827-0776 · Fax (478) 827-0699
Fax(478) 827-0699
Organization SubpartNo
Authorized OfficialSara Anne BradyChief Nursing Officer · (208) 371-7878
Enumeration DateOctober 11, 2017
Last NPPES UpdateMay 27, 20266 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
NPI 1235649765 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
135 AVERA DR, Fort Valley, GA 31030

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 11D1008399

Fort Valley Dialysis Center, LLC · Fort Valley, GA
Active · expires Jan 20, 2027
CLIA Number11D1008399
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorIyad B. Barakat
Laboratory Phone(478) 827-0776
Laboratory LocationFort Valley Dialysis Center, LLC135 Avera Drive, Fort Valley, GA 31030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0664813

Fort Valley Dialysis · Fort Valley, GA
Active · expires Aug 31, 2026
CLIA Number11D0664813
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAzmi Kabbani
Laboratory Phone(912) 825-7208
Laboratory LocationFort Valley Dialysis557 Blue Bird Boulevard, Fort Valley, GA 31030
CLIA data matches this NPI record on: 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 DaVita Fort Valley Dialysis Center (CMS certification number 112559), from CMS Care Compare.

DaVita Fort Valley Dialysis Center

Dialysis facility · Fort Valley, GA
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number112559
ESRD NetworkNetwork 6
Hemodialysis Stations12
Medicare-Certified SinceJuly 10, 1989
Location557 BLUEBIRD BLVDFort Valley, GA 31030 · Peach County
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
135 AVERA DR
FORT VALLEY, GA 31030

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 Fort Valley Dialysis Center LLC's NPI number?

The NPI number for Fort Valley Dialysis Center LLC is 1235649765. It was assigned to this organization in the NPPES registry on October 11, 2017.

Where is Fort Valley Dialysis Center LLC located?

Fort Valley Dialysis Center LLC is located at 135 Avera Dr, Fort Valley, GA 31030. The listed phone number is (478) 827-0776.

What is Fort Valley Dialysis Center 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 Fort Valley Dialysis Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Fort Valley Dialysis Center LLC a Medicare-certified dialysis facility?

Yes. DaVita Fort Valley Dialysis Center is a Medicare-certified dialysis facility, certified since July 10, 1989.

What quality rating does Fort Valley Dialysis Center LLC have?

CMS rates DaVita Fort Valley Dialysis Center 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Fort Valley Dialysis Center LLC accept?

Health plans from Mending Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list Fort Valley Dialysis Center 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 Fort Valley Dialysis Center LLC was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.