NPI age
11 years
Enumerated 2014-12-09
● Active Type 2 · Organization
Louisville Dialysis Clinic-Peachtree Llc
Louisville Dialysis Clinic-Peachtree Llc is 1 of 563 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilcox
Cfo
Last NPPES update
2017-03-16
Source: monthly bulk 2026-05
How this organization compares
Across 563 active clinic/center providers in Georgia.
NPI age
11 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-12Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
1069 Peachtree St
Louisville, GA 304341558
Mailing address
1069 Peachtree St
Louisville, GA 304341558
Authorized official
Jonathan Wilcox
Cfo
📞 9789223080
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000814184A |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.