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FAYETTE DIALYSIS
NPI 1902879117
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fayette, AL

Active since February 08, 2006CLIA 01D0884365 · Waiver
2/5
Overall Rating
2450 TEMPLE AVE N, FAYETTE, AL 35555(205) 932-8500(205) 932-8332 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, Apr 21, 2020, Dec 20, 2018 (3 updates tracked since 2018).

About Fayette Dialysis NPPES

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

FAYETTE DIALYSIS (NPI 1902879117) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fayette, Alabama and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1902879117
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE OF TUSCALOOSA LLC
Location Address2450 TEMPLE AVE NFayette, AL 35555-1160
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4268 · Fax (877) 238-0567
Phone(205) 932-8500
Fax(205) 932-8332
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateFebruary 8, 2006
Last NPPES UpdateFebruary 21, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
✔ NPI 1902879117 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 AL · S2901
2450 TEMPLE AVE N, Fayette, AL 35555
Open in Google Maps ↗

Other Names 1

Doing Business AsFayette Dialysis

Other Identifiers 2

MedicaidDIA2548DAL
Medicaid00220640MS · Out Of State Provider

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.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 01D0884365

Fayette Dialysis · Fayette, AL
Active · expires Mar 29, 2028
CLIA Number01D0884365
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorWaleed Siddiqi
Laboratory Phone(205) 932-8500
Laboratory LocationFayette Dialysis2450 Temple Ave N, Fayette, AL 35555
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 Fayette Dialysis (CMS certification number 012548), from CMS Care Compare.

DaVita Fayette Dialysis

Dialysis facility · Fayette, AL
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number012548
ESRD NetworkNetwork 8
Hemodialysis Stations10
Medicare-Certified SinceNovember 12, 1993
Location2450 TEMPLE AVE NFayette, AL 35555 · Fayette County
Phone(205) 932-8500
Services Offered
In-center hemodialysis

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 DVA Healthcare Of Tuscaloosa LLC's NPI number?

The NPI number for DVA Healthcare Of Tuscaloosa LLC is 1902879117. It was assigned to this organization in the NPPES registry on February 8, 2006. The provider is doing business as Fayette Dialysis.

Where is DVA Healthcare Of Tuscaloosa LLC located?

DVA Healthcare Of Tuscaloosa LLC is located at 2450 Temple Ave N, Fayette, AL 35555. The listed phone number is (205) 932-8500.

What is DVA Healthcare Of Tuscaloosa 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 DVA Healthcare Of Tuscaloosa LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0884365) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Healthcare Of Tuscaloosa LLC a Medicare-certified dialysis facility?

Yes. DaVita Fayette Dialysis is a Medicare-certified dialysis facility, certified since November 12, 1993.

What quality rating does DVA Healthcare Of Tuscaloosa LLC have?

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

What insurance does DVA Healthcare Of Tuscaloosa LLC accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list DVA Healthcare Of Tuscaloosa 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 DVA Healthcare Of Tuscaloosa LLC was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.