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DIVERSIFIED RENAL GROUP HOME DIALYSIS
NPI 1649556721
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fayette, MS

Active since November 02, 2011
1005 MAIN STREET, FAYETTE, MS 39069(601) 488-1070(601) 899-3343 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Diversified Renal Group Home Dialysis NPPES

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

DIVERSIFIED RENAL GROUP HOME DIALYSIS (NPI 1649556721) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fayette, Mississippi and active in the NPI registry since November 2011. The organization lists Tunde Olutade, Owner, as its authorized official.

NPPES Registry Identity

NPI1649556721
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDRG FAYETTE, PLLC
Location Address1005 MAIN STREETFayette, MS 39069
Mailing Address5903 Ridgewood Rd, Suite 340Jackson, MS 39211-3700 · (601) 488-1070
Phone(601) 488-1070
Fax(601) 899-3343
Organization SubpartNo
Authorized OfficialTunde OlutadeOwner · (601) 899-3340
Enumeration DateNovember 2, 2011
Last NPPES UpdateNovember 14, 2011
✔ NPI 1649556721 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
1005 MAIN STREET, Fayette, MS 39069
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Other Names 1

Doing Business AsDiversified Renal Group Home Dialysis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Drg Fayette (CMS certification number 252571), from CMS Care Compare.

Drg Fayette

Dialysis facility · Fayette, MS
OwnershipProfit
CMS Certification Number252571
ESRD NetworkNetwork 8
Hemodialysis Stations8
Medicare-Certified SinceApril 24, 2008
Location12657 Highway 61Fayette, MS 39069 · Jefferson County
Phone(601) 451-5155
Services Offered
In-center hemodialysis

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 Drg Fayette, PLLC's NPI number?

The NPI number for Drg Fayette, PLLC is 1649556721. It was assigned to this organization in the NPPES registry on November 2, 2011. The provider is doing business as Diversified Renal Group Home Dialysis.

Where is Drg Fayette, PLLC located?

Drg Fayette, PLLC is located at 1005 Main Street, Fayette, MS 39069. The listed phone number is (601) 488-1070.

What is Drg Fayette, PLLC'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 Drg Fayette, PLLC a Medicare-certified dialysis facility?

Yes. Drg Fayette is a Medicare-certified dialysis facility, certified since April 24, 2008.

What insurance does Drg Fayette, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Drg Fayette, PLLC 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 Drg Fayette, PLLC was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.