P Praxis·MD
● Active Type 2 · Organization

Valdosta Kidney Clinic, Llc

Specialist·Valdosta, GA· NPI 1215109087 · Enumerated 2008 · 18 years on NPI
Valdosta Kidney Clinic, Llc is 1 of 1881 specialist organizations in Georgia.
NPI age
18 years
Enumerated 2008-04-01
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Chiang
Manager
Last NPPES update
2012-04-05
Source: monthly bulk 2026-05

How this organization compares

Across 1881 active specialist providers in Georgia.

NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-04Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
410 Cowart Ave
Valdosta, GA 316022622
📞 2292446544fax 2292419744
Mailing address
Po Box 2267
Valdosta, GA 316042267
📞 2292446544fax 2292419744

Authorized official

Maria Ester Chiang
Manager
📞 2292446544

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #054594 taxonomy 174400000X

Identifiers

TypeValueNotes
01 GRP6735 MEDICARE ID
01 (GA) DC4801 RAILROAD MEDICARE GROUP

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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