RENAL CARE GROUP FT. WALTON BEACH
NPI 1447362280
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fort Walton Beach, FL

Active since August 31, 2006CLIA 10D0909793 · Waiver
2/5
Overall Rating
925 MAR WALT DR STE 3, FORT WALTON BEACH, FL 32547(850) 864-4411(850) 864-1279 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2023, Aug 17, 2021 (2 updates tracked since 2021).

About Renal Care Group Ft. Walton Beach NPPES

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

RENAL CARE GROUP FT. WALTON BEACH (NPI 1447362280) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fort Walton Beach, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 25, 2028 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1447362280
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL CARE GROUP OF THE SOUTHEAST, INC.
Location Address925 MAR WALT DR STE 3Fort Walton Beach, FL 32547-6609
Mailing Address925 Mar Walt Dr Ste 3Fort Walton Beach, FL 32547-6609 · (850) 864-4411 · Fax (850) 864-1279
Fax(850) 864-1279
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1447362280 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
925 MAR WALT DR STE 3, Fort Walton Beach, FL 32547

Other Names 1

Doing Business AsRenal Care Group Ft. Walton Beach

Other Identifiers 1

Medicaid212067400FL

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 10D0909793

Renal Care Group Ft Walton Beach · Fort Walton Beach, FL
Active · expires Jun 25, 2028
CLIA Number10D0909793
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorBenjamin Huang
Laboratory Phone(850) 864-4411
Laboratory LocationRenal Care Group Ft Walton Beach925 Mar Walt Drive, Fort Walton Beach, FL 32547
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 Rcg - Ft Walton Beach (CMS certification number 102705), from CMS Care Compare.

Rcg - Ft Walton Beach

Dialysis facility · Fort Walton Beach, FL
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainFresenius Medical Care
CMS Certification Number102705
ESRD NetworkNetwork 7
Hemodialysis Stations38
Medicare-Certified SinceSeptember 16, 1996
Location925 MAR WALT DR STE 3Fort Walton Beach, FL 32547 · Okaloosa County
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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 Renal Care Group Of The Southeast, Inc.'s NPI number?

The NPI number for Renal Care Group Of The Southeast, Inc. is 1447362280. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Renal Care Group Ft. Walton Beach.

Where is Renal Care Group Of The Southeast, Inc. located?

Renal Care Group Of The Southeast, Inc. is located at 925 Mar Walt Dr Ste 3, Fort Walton Beach, FL 32547. The listed phone number is (850) 864-4411.

What is Renal Care Group Of The Southeast, Inc.'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 Renal Care Group Of The Southeast, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0909793) is associated with this NPI, valid through June 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Care Group Of The Southeast, Inc. a Medicare-certified dialysis facility?

Yes. Rcg - Ft Walton Beach is a Medicare-certified dialysis facility, certified since September 16, 1996.

What quality rating does Renal Care Group Of The Southeast, Inc. have?

CMS rates Rcg - Ft Walton Beach 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Renal Care Group Of The Southeast, Inc. accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Renal Care Group Of The Southeast, Inc. 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 Renal Care Group Of The Southeast, Inc. was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.