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U S RENAL CARE SOUTH GEORGIA DIALYSIS
NPI 1790748101
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Valdosta, GA

Active since April 07, 2006
3564 N CROSSING CIR STE A, VALDOSTA, GA 31602(229) 249-3222(229) 249-0775 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About U S Renal Care South Georgia Dialysis NPPES

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

U S RENAL CARE SOUTH GEORGIA DIALYSIS (NPI 1790748101) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Valdosta, Georgia and active in the NPI registry since April 2006. The organization lists Thomas L Weinberg, Vice President & Secretary, as its authorized official.

NPPES Registry Identity

NPI1790748101
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDCA OF SO GA LLC
Location Address3564 N CROSSING CIR STE AValdosta, GA 31602-6413
Mailing AddressPo Box 19119Jonesboro, AR 72403-6601 · (870) 931-5400 · Fax (870) 931-5418
Phone(229) 249-3222
Fax(229) 249-0775
Organization SubpartYesParent: U S Renal Care Inc
Authorized OfficialThomas L WeinbergVice President & Secretary · (214) 736-2700
Enumeration DateApril 7, 2006
Last NPPES UpdateJuly 17, 2014
✔ NPI 1790748101 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
3564 N CROSSING CIR STE A, Valdosta, GA 31602
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Other Names 1

Doing Business AsU S Renal Care South Georgia Dialysis

Other Identifiers 2

Medicaid000895309CGA
Medicare ID-Type Unspecified11-2688GA · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

U S Renal Care South Georgia Dialysis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20071109000240Part A · End-Stage Renal Disease Facility (ESRD)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 11D0979282

Dca Of So Ga, LLC D/B/A Usrc South Georgia Dialysis · Valdosta, GA
Expired · Oct 17, 2026
CLIA Number11D0979282
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorArunas Urbonas
Laboratory Phone(229) 249-3222
Laboratory LocationDca Of So Ga, LLC D/B/A Usrc South Georgia Dialysis3564 North Crossing Circle, Suite A, Valdosta, GA 31602
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dca Of So Ga LLC's NPI number?

The NPI number for Dca Of So Ga LLC is 1790748101. It was assigned to this organization in the NPPES registry on April 7, 2006. The provider is doing business as U S Renal Care South Georgia Dialysis.

Where is Dca Of So Ga LLC located?

Dca Of So Ga LLC is located at 3564 N Crossing Cir Ste A, Valdosta, GA 31602. The listed phone number is (229) 249-3222.

What is Dca Of So Ga 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.

Is Dca Of So Ga LLC enrolled in Medicare?

Yes. Dca Of So Ga LLC is registered in the Medicare PECOS enrollment system.

When is Dca Of So Ga LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Georgia, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Dca Of So Ga LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 7 other insurers list Dca Of So Ga 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 Dca Of So Ga LLC was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.