TRIBBLE MILL DIALYSIS
NPI 1629607098
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lawrenceville, GA
About Tribble Mill Dialysis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRIBBLE MILL DIALYSIS (NPI 1629607098) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lawrenceville, Georgia and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tribble Mill Dialysis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 11D2227842
Tribble Mill Dialysis · Lawrenceville, GADialysis Facility Quality Ratings CMS Care Compare
Quality ratings, services and patient survey results for DaVita Tribble Mill Dialysis (CMS certification number 852588), from CMS Care Compare.
DaVita Tribble Mill Dialysis
Dialysis facility · Lawrenceville, GAFrequently 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 Rutledge Dialysis, LLC's NPI number?
The NPI number for Rutledge Dialysis, LLC is 1629607098. It was assigned to this organization in the NPPES registry on April 7, 2020. The provider is doing business as Tribble Mill Dialysis.
Where is Rutledge Dialysis, LLC located?
Rutledge Dialysis, LLC is located at 1719 New Hope Rd, Lawrenceville, GA 30045. The listed phone number is (470) 622-7112.
What is Rutledge 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.
Is Rutledge Dialysis, LLC enrolled in Medicare?
Yes. Rutledge Dialysis, LLC is registered in the Medicare PECOS enrollment system.
When is Rutledge Dialysis, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Georgia, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Rutledge Dialysis, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2227842) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Rutledge Dialysis, LLC a Medicare-certified dialysis facility?
Yes. DaVita Tribble Mill Dialysis is a Medicare-certified dialysis facility, certified since November 22, 2021.
What quality rating does Rutledge Dialysis, LLC have?
CMS rates DaVita Tribble Mill Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.
What insurance does Rutledge Dialysis, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of North Carolina and 9 other insurers list Rutledge Dialysis, 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 Rutledge Dialysis, LLC was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tribble Mill Dialysis · NPI 1629607098
End-Stage Renal Disease (ESRD) Treatment organization in Lawrenceville, Georgia. Organization record, active in the CMS NPPES registry since April 7, 2020.
## Identity
- **NPI:** 1629607098 (Entity type: Organization)
- **Enumerated:** April 7, 2020
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Legal business name:** Rutledge Dialysis, Llc
- **Organization subpart:** No
- **Authorized official:** Samuel Wey, VP LICENSURE & CERTIFICATION
## Practice location
- **Address:** 1719 NEW HOPE RD, Lawrenceville, GA 30045-6570
- **Phone:** (470) 622-7112 · **Fax:** (470) 622-7130
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Part A, Georgia, End-Stage Renal Disease Facility (ESRD)) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629607098) · Data from the CMS NPPES public registry.