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JEDBURG DIALYSIS
NPI 1578740387
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Summerville, SC

Active since January 23, 2008CLIA 42D1082661 · Waiver
2/5
Overall Rating
2897 W 5TH NORTH ST, SUMMERVILLE, SC 29483(843) 873-3955(843) 873-0266 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jedburg Dialysis NPPES

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

JEDBURG DIALYSIS (NPI 1578740387) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Summerville, South Carolina and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists James K Hilger, Cheif Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1578740387
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameJEDBURG DIALYSIS LLC
Location Address2897 W 5TH NORTH STSummerville, SC 29483-9674
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4230
Phone(843) 873-3955
Fax(843) 873-0266
Organization SubpartNo
Authorized OfficialJames K HilgerCheif Accounting Officer · (253) 733-4500
Enumeration DateJanuary 23, 2008
Last NPPES UpdateSeptember 30, 2015
✔ NPI 1578740387 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 SC · ERD-0183
2897 W 5TH NORTH ST, Summerville, SC 29483
Open in Google Maps ↗

Other Names 1

Doing Business AsJedburg Dialysis

Other Identifiers 2

Medicare OSCAR/certification422620
MedicaidERD183SC

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 42D1082661

Jedburg Dialysis · Summerville, SC
Active · expires Apr 15, 2028
CLIA Number42D1082661
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorSamuel C. Franklin
Laboratory Phone(843) 873-3955
Laboratory LocationJedburg Dialysis2897 W 5th North St, Summerville, SC 29483
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 DaVita Jedburg Dialysis (CMS certification number 422620), from CMS Care Compare.

DaVita Jedburg Dialysis

Dialysis facility · Summerville, SC
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number422620
ESRD NetworkNetwork 6
Hemodialysis Stations18
Medicare-Certified SinceJanuary 12, 2009
Location2897 W 5TH NORTH STSummerville, SC 29483 · Dorchester County
Phone(843) 873-3955
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES

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

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2897 W 5TH NORTH ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-3955

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 Jedburg Dialysis LLC's NPI number?

The NPI number for Jedburg Dialysis LLC is 1578740387. It was assigned to this organization in the NPPES registry on January 23, 2008. The provider is doing business as Jedburg Dialysis.

Where is Jedburg Dialysis LLC located?

Jedburg Dialysis LLC is located at 2897 W 5th North St, Summerville, SC 29483. The listed phone number is (843) 873-3955.

What is Jedburg Dialysis 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 Jedburg Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1082661) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Jedburg Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Jedburg Dialysis is a Medicare-certified dialysis facility, certified since January 12, 2009.

What quality rating does Jedburg Dialysis LLC have?

CMS rates DaVita Jedburg Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Jedburg Dialysis LLC was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.