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WYLDS ROAD DIALYSIS
NPI 1972572949
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Augusta, GA

Active since March 14, 2006CLIA 11D0711782 · Waiver
2/5
Overall Rating
1815 WYLDS RD, AUGUSTA, GA 30909(706) 733-0522(706) 733-0432 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2024, Mar 2, 2020, Oct 1, 2018 (3 updates tracked since 2018).

About Wylds Road Dialysis NPPES

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

WYLDS ROAD DIALYSIS (NPI 1972572949) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Augusta, Georgia and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1972572949
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE RENAL CARE INC
Location Address1815 WYLDS RDAugusta, GA 30909-4430
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(706) 733-0522
Fax(706) 733-0432
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMarch 14, 2006
Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1972572949 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 · ESRD001090
1815 WYLDS RD, Augusta, GA 30909
Open in Google Maps ↗

Other Names 1

Doing Business AsWylds Road Dialysis

Other Identifiers 2

Medicaid125797SC
Medicaid000534388AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter Health and more.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 11D0711782

Wylds Road Dialysis · Augusta, GA
Active · expires Aug 31, 2026
CLIA Number11D0711782
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Barton C. Brezina
Laboratory Phone(706) 733-0522
Laboratory LocationWylds Road Dialysis1815 Wylds Road, Augusta, GA 30909
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 Wylds Road Dialysis (CMS certification number 112579), from CMS Care Compare.

DaVita Wylds Road Dialysis

Dialysis facility · Augusta, GA
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number112579
ESRD NetworkNetwork 6
Hemodialysis Stations20
Medicare-Certified SinceOctober 6, 1992
Location1815 WYLDS ROADAugusta, GA 30909 · Richmond County
Phone(706) 733-0522
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1972572949. It was assigned to this organization in the NPPES registry on March 14, 2006. The provider is doing business as Wylds Road Dialysis.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 1815 Wylds Rd, Augusta, GA 30909. The listed phone number is (706) 733-0522.

What is DVA Healthcare Renal Care 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.

Does DVA Healthcare Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0711782) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Healthcare Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Wylds Road Dialysis is a Medicare-certified dialysis facility, certified since October 6, 1992.

What quality rating does DVA Healthcare Renal Care Inc have?

CMS rates DaVita Wylds Road 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 Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of North Carolina and 10 other insurers list DVA Healthcare Renal Care Inc 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 Renal Care Inc was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.