FRESENIUS MEDICAL CARE NORTHEAST ATLANTA, LLC
NPI 1487293700
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lilburn, GA

Q: What is Fresenius Medical Care Northeast Atlanta, 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.

Active since January 03, 2020CLIA 11D2132506 · Waiver

4455 STONE MOUNTAIN HWY, LILBURN, GA 30047(678) 344-1586(678) 344-1588 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Fresenius Medical Care Northeast Atlanta, Llc NPPES

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

FRESENIUS MEDICAL CARE NORTHEAST ATLANTA, LLC (NPI 1487293700), doing business as Fresenius Kidney Care Lilburn, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lilburn, Georgia and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists James Joseph Divito, Vice President, as its authorized official.

NPPES Registry Identity

NPI1487293700

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameFRESENIUS MEDICAL CARE NORTHEAST ATLANTA, LLC

Location Address4455 STONE MOUNTAIN HWYLilburn, GA 30047-4525

Mailing Address4455 Stone Mountain HwyLilburn, GA 30047-4525 · (678) 344-1586 · Fax (678) 344-1588

Phone(678) 344-1586

Fax(678) 344-1588

Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.

Authorized OfficialJames Joseph DivitoVice President · (781) 699-9000

Enumeration DateJanuary 3, 2020

✔ NPI 1487293700 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

4455 STONE MOUNTAIN HWY, Lilburn, GA 30047

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Other Names 1

Doing Business AsFresenius Kidney Care Lilburn

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 11D2132506

Fresenius Medical Care Northeast Atlanta, LLC Dba Fresenius Kidney Care Lilburn · Lilburn, GA

Active · expires Jun 20, 2027

CLIA Number11D2132506

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJune 21, 2025

Certificate Expiration DateJune 20, 2027

Laboratory DirectorLorin Sanchez

Laboratory Phone(770) 808-0509

Laboratory LocationFresenius Medical Care Northeast Atlanta, LLC Dba Fresenius Kidney Care Lilburn4455 Stone Mountain Highway, Lilburn, GA 30047

CLIA data matches this NPI record on: Address Name

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.

BIO-MEDICAL APPLICATIONS OF GEORGIA, INC.

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

4455 STONE MOUNTAIN HWY
LILBURN, GA 30047

Gwinnett County (678) 344-1586

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 Fresenius Medical Care Northeast Atlanta, LLC's NPI number?

The NPI number for Fresenius Medical Care Northeast Atlanta, LLC is 1487293700. It was assigned to this organization in the NPPES registry on January 3, 2020. The provider is doing business as Fresenius Kidney Care Lilburn.

Where is Fresenius Medical Care Northeast Atlanta, LLC located?

Fresenius Medical Care Northeast Atlanta, LLC is located at 4455 Stone Mountain Hwy, Lilburn, GA 30047. The listed phone number is (678) 344-1586.

What is Fresenius Medical Care Northeast Atlanta, 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 Fresenius Medical Care Northeast Atlanta, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2132506) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fresenius Medical Care Northeast Atlanta, LLC was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.