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CORDELE DIALYSIS CENTER
NPI 1770763567
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Cordele, GA

Active since November 08, 2007CLIA 11D1079625 · Waiver
3/5
Overall Rating
1013 E 16TH AVE, CORDELE, GA 31015(229) 273-0163 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Cordele Dialysis Center NPPES

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

CORDELE DIALYSIS CENTER (NPI 1770763567) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Cordele, Georgia and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Jim Hilger, Vice President, as its authorized official.

NPPES Registry Identity

NPI1770763567
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCORDELE DIALYSIS CENTER LLC
Location Address1013 E 16TH AVECordele, GA 31015-1539
Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4521 · Fax (866) 594-2894
Phone(229) 273-0163
Organization SubpartNo
Authorized OfficialJim HilgerVice President · (253) 382-1919
Enumeration DateNovember 8, 2007
Last NPPES UpdateMay 6, 2009
✔ NPI 1770763567 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
1013 E 16TH AVE, Cordele, GA 31015
Open in Google Maps ↗

Other Names 1

Doing Business AsCordele Dialysis Center

Other Identifiers 2

Medicaid882488002AGA
Medicare OSCAR/certification112796

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 11D1079625

Cordele Dialysis Center · Cordele, GA
Active · expires Feb 3, 2028
CLIA Number11D1079625
Laboratory TypeBlood Bank
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorGuido H. Ring MD
Laboratory Phone(229) 273-0163
Laboratory LocationCordele Dialysis Center1013 E 16 Avenue, Cordele, GA 31015
CLIA data matches this NPI record on: 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 Cordele Dialysis Center (CMS certification number 112796), from CMS Care Compare.

DaVita Cordele Dialysis Center

Dialysis facility · Cordele, GA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number112796
ESRD NetworkNetwork 6
Hemodialysis Stations20
Medicare-Certified SinceMarch 26, 2008
Location1013 EAST 16TH AveCordele, GA 31015 · Crisp County
Phone(229) 273-0163
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)
1013 E 16TH AVE
CORDELE, GA 31015
Crisp County (229) 273-0163

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 Cordele Dialysis Center LLC's NPI number?

The NPI number for Cordele Dialysis Center LLC is 1770763567. It was assigned to this organization in the NPPES registry on November 8, 2007. The provider is doing business as Cordele Dialysis Center.

Where is Cordele Dialysis Center LLC located?

Cordele Dialysis Center LLC is located at 1013 E 16th Ave, Cordele, GA 31015. The listed phone number is (229) 273-0163.

What is Cordele Dialysis Center 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 Cordele Dialysis Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1079625) is associated with this NPI, valid through February 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Cordele Dialysis Center LLC a Medicare-certified dialysis facility?

Yes. DaVita Cordele Dialysis Center is a Medicare-certified dialysis facility, certified since March 26, 2008.

What quality rating does Cordele Dialysis Center LLC have?

CMS rates DaVita Cordele Dialysis Center 3 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 Cordele Dialysis Center LLC was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.