KIDNEY DIALYSIS CENTER, LLC
NPI 1548429822
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Macon, GA

Active since June 03, 2008CLIA 11D1092305 · Waiver
640 MARTIN LUTHER KING JR BLVD, SUITE 100, MACON, GA 31201(478) 742-5850(478) 742-5860 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kidney Dialysis Center, Llc NPPES

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

KIDNEY DIALYSIS CENTER, LLC (NPI 1548429822) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Macon, Georgia and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Azmi Kabbani, Organizer, as its authorized official.

NPPES Registry Identity

NPI1548429822
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKIDNEY DIALYSIS CENTER, LLC
Location Address640 MARTIN LUTHER KING JR BLVD, SUITE 100Macon, GA 31201-3206
Mailing Address640 Martin Luther King Jr Blvd, Suite 100Macon, GA 31201-3206 · (478) 742-5850 · Fax (478) 742-5860
Fax(478) 742-5860
Organization SubpartNo
Authorized OfficialAzmi KabbaniOrganizer · (478) 745-5455
Enumeration DateJune 3, 2008
Last NPPES UpdateOctober 15, 2008
NPI 1548429822 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
640 MARTIN LUTHER KING JR BLVD, Macon, GA 31201

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 11D1092305

Kidney Dialysis Center · Macon, GA
Active · expires Nov 20, 2026
CLIA Number11D1092305
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorLudwig Cavaliere
Laboratory Phone(478) 742-5850
Laboratory LocationKidney Dialysis Center640 Martin Luther King Jr Blvd, Suite 100, Macon, GA 31201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Nephrology)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201
Internal Medicine (Nephrology)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201
Internal Medicine (Nephrology)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201
Physician Assistant (Medical)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201
Dietitian, Registered (Nutrition, Renal)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201
Physician Assistant
640 MARTIN LUTHER KING JR BLVD
MACON, GA 31201
Internal Medicine (Nephrology)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201
Internal Medicine (Nephrology)
640 MARTIN LUTHER KING JR BLVD, SUITE 200
MACON, GA 31201

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 Kidney Dialysis Center, LLC's NPI number?

The NPI number for Kidney Dialysis Center, LLC is 1548429822. It was assigned to this organization in the NPPES registry on June 3, 2008.

Where is Kidney Dialysis Center, LLC located?

Kidney Dialysis Center, LLC is located at 640 Martin Luther King Jr Blvd Suite 100, Macon, GA 31201. The listed phone number is (478) 742-5850.

What is Kidney 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.

Does Kidney Dialysis Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1092305) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidney Dialysis Center, LLC accept?

Health plans from Mending Health list Kidney 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 Kidney Dialysis Center, LLC was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.