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SOUTH FULTON DIALYSIS CENTER LLC
NPI 1417016551
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Atlanta, GA

Active since December 06, 2006
1/5
Overall Rating
3268 GREENBRIAR PKWY SW, ATLANTA, GA 30331(404) 997-6700(404) 997-6710 Get Directions Write a Review

NPPES record last updated: July 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Fulton Dialysis Center Llc NPPES

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

SOUTH FULTON DIALYSIS CENTER LLC (NPI 1417016551) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Atlanta, Georgia and active in the NPI registry since December 2006. The organization lists Bob Agbogu, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417016551
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSOUTH FULTON DIALYSIS CENTER LLC
Location Address3268 GREENBRIAR PKWY SWAtlanta, GA 30331-2604
Mailing Address1151 Cleveland Avenue, Suite A/bEast Point, GA 30344-3618 · (404) 669-9669 · Fax (404) 669-6998
Phone(404) 997-6700
Fax(404) 997-6710
Organization SubpartNo
Authorized OfficialBob AgboguMedical Director · (404) 669-9669
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 21, 2017
✔ NPI 1417016551 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 · ESRD001133
3268 GREENBRIAR PKWY SW, Atlanta, GA 30331
Open in Google Maps ↗

Other Identifiers 3

Medicaid000823853BGA
Medicare OSCAR/certification112656GA
Medicaid000823853AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 11D0954310

South Fulton Dialysis Center · Atlanta, GA
Expired · Jul 17, 2026
CLIA Number11D0954310
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 18, 2024
Certificate Expiration DateJuly 17, 2026
Laboratory DirectorDr. Bob Agbou
Laboratory Phone(404) 997-6700
Laboratory LocationSouth Fulton Dialysis Center3268 Greenbriar Parkway SW, Atlanta, GA 30331
CLIA data matches this NPI record on: Address Name Phone
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 South Fulton Dialysis Center (CMS certification number 112656), from CMS Care Compare.

South Fulton Dialysis Center

Dialysis facility · Atlanta, GA
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainOther
CMS Certification Number112656
ESRD NetworkNetwork 6
Hemodialysis Stations19
Medicare-Certified SinceDecember 30, 1998
Location3268 GREENBRIAR PKWY, SWAtlanta, GA 30331 · Fulton County
Phone(404) 997-6700
Services Offered
In-center hemodialysis Peritoneal dialysis

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 South Fulton Dialysis Center LLC's NPI number?

The NPI number for South Fulton Dialysis Center LLC is 1417016551. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is South Fulton Dialysis Center LLC located?

South Fulton Dialysis Center LLC is located at 3268 Greenbriar Pkwy SW, Atlanta, GA 30331. The listed phone number is (404) 997-6700.

What is South Fulton 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.

Is South Fulton Dialysis Center LLC a Medicare-certified dialysis facility?

Yes. South Fulton Dialysis Center is a Medicare-certified dialysis facility, certified since December 30, 1998.

What quality rating does South Fulton Dialysis Center LLC have?

CMS rates South Fulton Dialysis Center 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does South Fulton Dialysis Center LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list South Fulton 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 South Fulton Dialysis Center LLC was last updated on July 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.