U.S. RENAL CARE GRAY DIALYSIS
NPI 1629464797
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Gray, GA

Active since April 15, 2015CLIA 11D1061298 · Waiver
1002 BOULDER DR, GRAY, GA 31032(478) 986-3066(478) 986-3114 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About U.s. Renal Care Gray Dialysis NPPES

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

U.S. RENAL CARE GRAY DIALYSIS (NPI 1629464797) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Gray, Georgia and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Thomas L. Weinberg, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1629464797
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDSI MACON, LLC
Location Address1002 BOULDER DRGray, GA 31032-6140
Mailing Address424 Church St, Suite 1900Nashville, TN 37219-2301 · (615) 777-8200
Fax(478) 986-3114
Organization SubpartYesParent: U.s. Renal Care, Inc.
Authorized OfficialThomas L. WeinbergAuthorized Official · (214) 736-2700
Enumeration DateApril 15, 2015
Last NPPES UpdateFebruary 15, 2016
NPI 1629464797 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
1002 BOULDER DR, Gray, GA 31032

Other Names 1

Doing Business AsU.s. Renal Care Gray Dialysis

Other Identifiers 1

Medicare OSCAR/certification112776GA

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 11D1061298

Dsi Macon, LLC D/B/A Us Renal Care Gray Dialysis · Gray, GA
Active · expires Nov 14, 2026
CLIA Number11D1061298
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorIhab Z. Zaggout
Laboratory Phone(478) 986-3066
Laboratory LocationDsi Macon, LLC D/B/A Us Renal Care Gray Dialysis1002 Boulder Drive, Gray, GA 31032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dsi Macon, LLC's NPI number?

The NPI number for Dsi Macon, LLC is 1629464797. It was assigned to this organization in the NPPES registry on April 15, 2015. The provider is doing business as U.S. Renal Care Gray Dialysis.

Where is Dsi Macon, LLC located?

Dsi Macon, LLC is located at 1002 Boulder Dr, Gray, GA 31032. The listed phone number is (478) 986-3066.

What is Dsi Macon, 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 Dsi Macon, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1061298) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dsi Macon, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list Dsi Macon, 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 Dsi Macon, LLC was last updated on February 15, 2016. 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.