GREENSBORO DIALYSIS FACILITY, L.L.C.
NPI 1265420327
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Greensboro, GA

Active since October 12, 2005CLIA 11D0941077 · Waiver
1220 SILOAM RD, GREENSBORO, GA 30642(706) 453-7222(706) 453-0022 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

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

GREENSBORO DIALYSIS FACILITY, L.L.C. (NPI 1265420327) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Greensboro, Georgia and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through February 10, 2028 and lists Debbie S Shirley, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1265420327
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameGREENSBORO DIALYSIS FACILITY, L.L.C.
Location Address1220 SILOAM RDGreensboro, GA 30642-2810
Mailing AddressPo Box 390Greensboro, GA 30642-0390 · (706) 433-0683 · Fax (706) 369-1478
Fax(706) 453-0022
Organization SubpartNo
Authorized OfficialDebbie S ShirleyAdministrative Assistant · (706) 433-0683
Enumeration DateOctober 12, 2005
Last NPPES UpdateDecember 7, 2007
NPI 1265420327 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 · ESRD001127
1220 SILOAM RD, Greensboro, GA 30642

Other Identifiers 1

Medicare ID-Type Unspecified112640GA

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 11D0941077

Greensboro Dialysis · Greensboro, GA
Active · expires Feb 10, 2028
CLIA Number11D0941077
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorDr. Gautam Das Gupta
Laboratory Phone(706) 453-7222
Laboratory LocationGreensboro Dialysis1041 Willow Run Road, Greensboro, GA 30642
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine (Nephrology)
1220 SILOAM RD
GREENSBORO, GA 30642

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

The NPI number for Greensboro Dialysis Facility, L.L.C. is 1265420327. It was assigned to this organization in the NPPES registry on October 12, 2005.

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

Greensboro Dialysis Facility, L.L.C. is located at 1220 Siloam Rd, Greensboro, GA 30642. The listed phone number is (706) 453-7222.

What is Greensboro 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.

Does Greensboro Dialysis Facility, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0941077) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Greensboro Dialysis Facility, L.L.C. was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.