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VICTORY DIALYSIS
NPI 1689008740
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Columbus, GA

Active since August 26, 2013CLIA 11D2065715 · Waiver
2401 SHELBY ST, COLUMBUS, GA 31903(706) 682-5327(706) 682-6059 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Victory Dialysis NPPES

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

VICTORY DIALYSIS (NPI 1689008740) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Columbus, Georgia and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists James K Hilger, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1689008740
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameHEAVENER DIALYSIS LLC
Location Address2401 SHELBY STColumbus, GA 31903-0000
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4286 · Fax (866) 594-2893
Phone(706) 682-5327
Fax(706) 682-6059
Organization SubpartNo
Authorized OfficialJames K HilgerChief Accounting Officer · (253) 733-4500
Enumeration DateAugust 26, 2013
✔ NPI 1689008740 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
2401 SHELBY ST, Columbus, GA 31903
Open in Google Maps ↗

Other Names 1

Doing Business AsVictory Dialysis

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 11D2065715

Victory Dialysis · Columbus, GA
Active · expires Sep 12, 2027
CLIA Number11D2065715
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorDr. Tamorie Smith
Laboratory Phone(706) 682-5327
Laboratory LocationVictory Dialysis2401 Shelby Street, Columbus, GA 31903
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

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)
2401 SHELBY ST
COLUMBUS, GA 31903
Muscogee County (706) 682-5327

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 Heavener Dialysis LLC's NPI number?

The NPI number for Heavener Dialysis LLC is 1689008740. It was assigned to this organization in the NPPES registry on August 26, 2013. The provider is doing business as Victory Dialysis.

Where is Heavener Dialysis LLC located?

Heavener Dialysis LLC is located at 2401 Shelby St, Columbus, GA 31903. The listed phone number is (706) 682-5327.

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

Yes. A Certificate of Waiver (number 11D2065715) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heavener Dialysis LLC was last updated on August 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.