DDS
NPI 1285066936
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Douglasvile, GA

Q: What is Douglasville Dialysis Spa Dds's NPI number?

The NPI number for Douglasville Dialysis Spa Dds is 1285066936. It was assigned to this organization in the NPPES registry on August 5, 2013. The provider is doing business as Dds.

Q: What is Douglasville Dialysis Spa Dds's specialty?

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

Active since August 05, 2013

3138 GOLF RIDGE BLVD, DOUGLASVILE, GA 30135(770) 485-1773(770) 627-3202 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dds NPPES

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

DDS (NPI 1285066936) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Douglasvile, Georgia and active in the NPI registry since August 2013. The organization lists Jenell Harris, Facility Administrator, as its authorized official.

NPPES Registry Identity

NPI1285066936

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDOUGLASVILLE DIALYSIS SPA DDS

Location Address3138 GOLF RIDGE BLVDDouglasvile, GA 30135

Mailing Address1380 Veterams Memorial Hwy SwMableton, GA 30126 · (770) 485-1773 · Fax (770) 627-3202

Phone(770) 485-1773

Fax(770) 627-3202

Organization SubpartNo

Authorized OfficialJenell HarrisFacility Administrator · (678) 903-4470

Enumeration DateAugust 5, 2013

Last NPPES UpdateJanuary 14, 2016

✔ NPI 1285066936 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

3138 GOLF RIDGE BLVD, Douglasvile, GA 30135

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Other Names 1

Doing Business AsDds

Other Identifiers 1

Medicare OSCAR/certification112879GA

Other Providers at the Same Location NPPES 2

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

JESSICA HOCUTT LAMFT, LAPC

Marriage & Family Therapist

3138 GOLF RIDGE BLVD, SUITE 101
DOUGLASVILLE, GA 30135

Douglas County (770) 364-6561

BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

3138 GOLF RIDGE BLVD
DOUGLASVILLE, GA 30135

Douglas County (678) 903-4470

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 Douglasville Dialysis Spa Dds's NPI number?

The NPI number for Douglasville Dialysis Spa Dds is 1285066936. It was assigned to this organization in the NPPES registry on August 5, 2013. The provider is doing business as Dds.

Where is Douglasville Dialysis Spa Dds located?

Douglasville Dialysis Spa Dds is located at 3138 Golf Ridge Blvd, Douglasvile, GA 30135. The listed phone number is (770) 485-1773.

What is Douglasville Dialysis Spa Dds'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 Douglasville Dialysis Spa Dds was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.