POOLER DIALYSIS
NPI 1720245152
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Pooler, GA

Q: What is Pooler Dialysis LLC's NPI number?

The NPI number for Pooler Dialysis LLC is 1720245152. It was assigned to this organization in the NPPES registry on May 22, 2008. The provider is doing business as Pooler Dialysis.

Q: What is Pooler 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.

Q: What quality rating does Pooler Dialysis LLC have?

CMS rates DaVita Pooler Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since May 22, 2008CLIA 11D1084853 · Waiver

4/5

Overall Rating

54 TRADERS WAY, POOLER, GA 31322(912) 748-1018(912) 748-4187 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pooler Dialysis NPPES

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

POOLER DIALYSIS (NPI 1720245152) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Pooler, Georgia and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Jim K Hilger, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1720245152

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NamePOOLER DIALYSIS LLC

Location Address54 TRADERS WAYPooler, GA 31322-4158

Mailing Address5200 Virginia Way, L&c DepartmentBrentwood, TN 37027-7569 · (615) 320-4286 · Fax (866) 594-2893

Phone(912) 748-1018

Fax(912) 748-4187

Organization SubpartNo

Authorized OfficialJim K HilgerChief Accounting Officer · (253) 733-4500

Enumeration DateMay 22, 2008

Last NPPES UpdateOctober 15, 2014

✔ NPI 1720245152 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 GA · ESRD000772

54 TRADERS WAY, Pooler, GA 31322

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Other Names 1

Doing Business AsPooler Dialysis

Other Identifiers 2

Medicare OSCAR/certification112811

Medicaid000619561AHGA

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 11D1084853

Pooler Dialysis · Pooler, GA

Active · expires Jun 4, 2028

CLIA Number11D1084853

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJune 5, 2026

Certificate Expiration DateJune 4, 2028

Laboratory DirectorMatthew Day

Laboratory Phone(912) 748-1018

Laboratory LocationPooler Dialysis54 Traders Way, Pooler, GA 31322

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 Pooler Dialysis (CMS certification number 112811), from CMS Care Compare.

DaVita Pooler Dialysis

Dialysis facility · Pooler, GA

4/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number112811

ESRD NetworkNetwork 6

Hemodialysis Stations12

Medicare-Certified SinceApril 8, 2009

Location54 Traders WayPooler, GA 31322 · Chatham County

Phone(912) 748-1018

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)

54 TRADERS WAY
POOLER, GA 31322

Chatham County (912) 748-1018

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 Pooler Dialysis LLC's NPI number?

The NPI number for Pooler Dialysis LLC is 1720245152. It was assigned to this organization in the NPPES registry on May 22, 2008. The provider is doing business as Pooler Dialysis.

Where is Pooler Dialysis LLC located?

Pooler Dialysis LLC is located at 54 Traders Way, Pooler, GA 31322. The listed phone number is (912) 748-1018.

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

Yes. A Certificate of Waiver (number 11D1084853) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Pooler Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Pooler Dialysis is a Medicare-certified dialysis facility, certified since April 8, 2009.

What quality rating does Pooler Dialysis LLC have?

CMS rates DaVita Pooler Dialysis 4 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 Pooler Dialysis LLC was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.