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MOULTRIE DIALYSIS CENTER
NPI 1508825704
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Moultrie, GA

Active since March 17, 2006
2419 S MAIN ST, MOULTRIE, GA 31768(229) 890-1221(229) 890-1226 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2020, Mar 16, 2020, Jul 19, 2018 (3 updates tracked since 2018).

About Moultrie Dialysis Center NPPES

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

MOULTRIE DIALYSIS CENTER (NPI 1508825704) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Moultrie, Georgia and active in the NPI registry since March 2006. The organization lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1508825704
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS MID ATLANTIC INC
Location Address2419 S MAIN STMoultrie, GA 31768
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4268 · Fax (877) 238-0567
Phone(229) 890-1221
Fax(229) 890-1226
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateMarch 17, 2006
Last NPPES UpdateApril 20, 20203 updates tracked since enumeration
NPPES CertifiedApril 20, 2020
✔ NPI 1508825704 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 · ESRD001016
2419 S MAIN ST, Moultrie, GA 31768
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Other Names 1

Doing Business AsMoultrie Dialysis Center

Other Identifiers 1

Medicaid000708419AGA

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 Treatment Centers Mid Atlantic Inc's NPI number?

The NPI number for Renal Treatment Centers Mid Atlantic Inc is 1508825704. It was assigned to this organization in the NPPES registry on March 17, 2006. The provider is doing business as Moultrie Dialysis Center.

Where is Renal Treatment Centers Mid Atlantic Inc located?

Renal Treatment Centers Mid Atlantic Inc is located at 2419 S Main St, Moultrie, GA 31768. The listed phone number is (229) 890-1221.

What is Renal Treatment Centers Mid Atlantic 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.

When was this NPI record last updated?

The NPPES record for Renal Treatment Centers Mid Atlantic Inc was last updated on April 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.