● Active Type 2 · Organization
Renal Treatment Centers Mid Atlantic, Inc.
Clinic/Center·Riverdale, GA· NPI 1205893203
·
Enumerated 2006 · 20 years on NPI
Renal Treatment Centers Mid Atlantic, Inc. is 1 of 563 clinic/center organizations in Georgia.
NPI age
20 years
Enumerated 2006-04-26
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wey
Vp Licensure & Certification
Last NPPES update
2026-02-11
Source: monthly bulk 2026-05
How this organization compares
Across 563 active clinic/center providers in Georgia.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
275 Upper Riverdale Rd Sw, Ste B
Riverdale, GA 302742556
📞 7709077022fax 7709077587
Mailing address
5200 Virginia Way, Att: L&c Dept
Brentwood, TN 370277569
Authorized official
Samuel T Wey
Vp Licensure & Certification
📞 6153416641
Individual providers at this organization
1 individual provider on file at this primary practice address.
Identifiers
| Type | Value | Notes |
| 05 (GA) |
712860106A |
|
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southern Crescent Dialysis Center
Type code 3
recorded 2018-09-18
-
Southern Crescent Dialysis Center
Type code 3
recorded 2015-03-17
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.