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HOMERVILLE DIALYSIS
NPI 1922076157
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Homerville, GA

Active since March 14, 2006
180 CARSWELL ST, STE 180, HOMERVILLE, GA 31634(912) 487-0092(912) 487-3533 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Homerville Dialysis NPPES

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

HOMERVILLE DIALYSIS (NPI 1922076157) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Homerville, Georgia and active in the NPI registry since March 2006. The organization lists Thomas O Usilton, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1922076157
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address180 CARSWELL ST, STE 180Homerville, GA 31634-2413
Mailing Address5200 Virginia Way, Suite 400 L&c DeptBrentwood, TN 37027-7569 · (615) 320-4218 · Fax (303) 209-7825
Phone(912) 487-0092
Fax(912) 487-3533
Organization SubpartNo
Authorized OfficialThomas O UsiltonGroup Vice President · (770) 541-7922
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 10, 2007
✔ NPI 1922076157 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 · ESRD001179
180 CARSWELL ST, Homerville, GA 31634
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Other Names 1

Doing Business AsHomerville Dialysis

Other Identifiers 2

MedicaidPENDINGNY
Medicare OSCAR/certification112686

Other Providers at the Same Location NPPES 5

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

BETSY DAUGHARTY CLIFTON FNP-C
Nurse Practitioner (Family)
180 CARSWELL ST
HOMERVILLE, GA 31634
Clinch County (912) 487-1654
SAMUEL B COBARRUBIAS MD, PC
Clinic/Center (Primary Care)
180 CARSWELL ST
HOMERVILLE, GA 31634
Clinch County (912) 487-1654
THRIVE MEDICAL CARE, LLC
Internal Medicine
180 CARSWELL ST
HOMERVILLE, GA 31634
Clinch County (912) 487-1654
DR. SAMUEL COBARRUBIAS M.D.
Internal Medicine
180 CARSWELL ST
HOMERVILLE, GA 31634
Clinch County (912) 487-1654
DANIEL OSPINA
Internal Medicine
180 CARSWELL ST
HOMERVILLE, GA 31634
Clinch County (912) 487-1654

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 Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1922076157. It was assigned to this organization in the NPPES registry on March 14, 2006. The provider is doing business as Homerville Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 180 Carswell St Ste 180, Homerville, GA 31634. The listed phone number is (912) 487-0092.

What is DVA Renal Healthcare Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for DVA Renal Healthcare Inc was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.