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CONYERS DIALYSIS
NPI 1720314776
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Conyers, GA

Active since October 27, 2009CLIA 11D2000448 · Waiver
2/5
Overall Rating
1501 MILSTEAD RD NE, CONYERS, GA 30012(770) 761-8097(770) 761-8141 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2024, Dec 17, 2020, Nov 16, 2018 (3 updates tracked since 2018).

About Conyers Dialysis NPPES

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

CONYERS DIALYSIS (NPI 1720314776) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Conyers, Georgia and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1720314776
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWILDER DIALYSIS LLC
Location Address1501 MILSTEAD RD NEConyers, GA 30012-3838
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(770) 761-8097
Fax(770) 761-8141
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateOctober 27, 2009
Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1720314776 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 · ESRD000745
1501 MILSTEAD RD NE, Conyers, GA 30012
Open in Google Maps ↗

Other Names 1

Doing Business AsConyers Dialysis

Other Identifiers 1

Medicaid003101099AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter from Superior HealthPlan, Ambetter Health and more.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 11D2000448

Conyers Dialysis · Conyers, GA
Active · expires Nov 30, 2027
CLIA Number11D2000448
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorMazen Abdalla
Laboratory Phone(770) 761-8097
Laboratory LocationConyers Dialysis1501 Milstead Road NE, Suite 150, Conyers, GA 30012
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 Conyers Dialysis (CMS certification number 112828), from CMS Care Compare.

DaVita Conyers Dialysis

Dialysis facility · Conyers, GA
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number112828
ESRD NetworkNetwork 6
Hemodialysis Stations16
Medicare-Certified SinceMarch 16, 2010
Location1501 Milstead Rd NEConyers, GA 30012 · Rockdale County
Phone(770) 761-8097
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGHANA BHATTA KUMAR M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1501 MILSTEAD RD NE
CONYERS, GA 30012
Rockdale County (140) 454-5234
GEORGIA CANCER SPECIALISTS I PC
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
SOUTHERN PAIN INSTITUTE PC
Pain Medicine (Interventional Pain Medicine)
1501 MILSTEAD RD NE, SUITE 140
CONYERS, GA 30012
Rockdale County (770) 632-3730
DR. KEVIN H PEACOCK MD
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
DR. SHERINE J THOMAS M.D.
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
NADER A DBOUK MD
Internal Medicine (Gastroenterology)
1501 MILSTEAD RD NE, SUITE 120
CONYERS, GA 30012
Rockdale County (678) 745-3033
DAVID S RABIN M.D.
Internal Medicine (Gastroenterology)
1501 MILSTEAD RD NE, STE 120
CONYERS, GA 30012
Rockdale County (678) 745-3033
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC
Durable Medical Equipment & Medical Supplies
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949

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 Wilder Dialysis LLC's NPI number?

The NPI number for Wilder Dialysis LLC is 1720314776. It was assigned to this organization in the NPPES registry on October 27, 2009. The provider is doing business as Conyers Dialysis.

Where is Wilder Dialysis LLC located?

Wilder Dialysis LLC is located at 1501 Milstead Rd NE, Conyers, GA 30012. The listed phone number is (770) 761-8097.

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

Yes. A Certificate of Waiver (number 11D2000448) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Wilder Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Conyers Dialysis is a Medicare-certified dialysis facility, certified since March 16, 2010.

What quality rating does Wilder Dialysis LLC have?

CMS rates DaVita Conyers Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Wilder Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Wilder 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 Wilder Dialysis LLC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.