P Praxis·MD
● Active Type 2 · Organization

South Fulton Dialysis Center Llc

Clinic/Center·Atlanta, GA· NPI 1417016551 · Enumerated 2006 · 19 years on NPI
South Fulton Dialysis Center Llc is 1 of 563 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2006-12-06
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Agbogu
Medical Director
Last NPPES update
2017-07-21
Source: monthly bulk 2026-05

How this organization compares

Across 563 active clinic/center providers in Georgia.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
3268 Greenbriar Pkwy Sw
Atlanta, GA 303312604
📞 4049976700fax 4049976710
Mailing address
1151 Cleveland Avenue, Suite A/b
East Point, GA 303443618
📞 4046699669fax 4046696998

Authorized official

Bob Agbogu
Medical Director
📞 4046699669

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #ESRD001133 taxonomy 261QE0700X

Identifiers

TypeValueNotes
05 (GA) 000823853B
05 (GA) 000823853A

Practice context

Single-site organization. Only one practice location on file.

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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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