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DIVERSIFIED RENAL GROUP FAYETTE, PLLC
NPI 1891978953
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fayette, MS

Active since December 12, 2007
225 COMMUNITY DRIVE, OFF HWY 61, FAYETTE, MS 39069(601) 786-6676(601) 786-6678 Get Directions Write a Review

NPPES record last updated: January 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diversified Renal Group Fayette, Pllc NPPES

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

DIVERSIFIED RENAL GROUP FAYETTE, PLLC (NPI 1891978953) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fayette, Mississippi and active in the NPI registry since December 2007. The organization lists Tunde Olutade, Member, as its authorized official.

NPPES Registry Identity

NPI1891978953
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDRG FAYETTE PLLC
Location Address225 COMMUNITY DRIVE, OFF HWY 61Fayette, MS 39069
Mailing Address5903 Ridgewood Rd, Suite 340Jackson, MS 39211-3700 · (601) 899-3340 · Fax (601) 899-3343
Phone(601) 786-6676
Fax(601) 786-6678
Organization SubpartNo
Authorized OfficialTunde OlutadeMember · (601) 899-3340
Enumeration DateDecember 12, 2007
Last NPPES UpdateJanuary 15, 2008
✔ NPI 1891978953 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
225 COMMUNITY DRIVE, Fayette, MS 39069
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Other Names 1

Other NameDiversified Renal Group Fayette, Pllc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

MRS. CRYSTAL S COOK CFNP
Nurse Practitioner
225 COMMUNITY DRIVE
FAYETTE, MS 39069
Jefferson County (601) 786-3475
MRS. PRISCILLA JACKSON CFNP
Nurse Practitioner
225 COMMUNITY DRIVE
FAYETTE, MS 39069
Jefferson County (601) 786-8206

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 Drg Fayette PLLC's NPI number?

The NPI number for Drg Fayette PLLC is 1891978953. It was assigned to this organization in the NPPES registry on December 12, 2007. The provider is also known as Diversified Renal Group Fayette, PLLC.

Where is Drg Fayette PLLC located?

Drg Fayette PLLC is located at 225 Community Drive Off Hwy 61, Fayette, MS 39069. The listed phone number is (601) 786-6676.

What is Drg Fayette PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

What insurance does Drg Fayette PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Drg Fayette PLLC 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 Drg Fayette PLLC was last updated on January 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.