P Praxis·MD
● Active Type 2 · Organization

Total Renal Care Inc

Clinic/Center·Vidalia, GA· NPI 1720242779 · Enumerated 2008 · 17 years on NPI
Total Renal Care Inc is 1 of 563 clinic/center organizations in Georgia.
NPI age
17 years
Enumerated 2008-07-17
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
2025-02-26
Source: monthly bulk 2026-05

How this organization compares

Across 563 active clinic/center providers in Georgia.

NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
906 E 1st St
Vidalia, GA 304744207
📞 9125388908fax 9125388909
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 370277569

Authorized official

Samuel T Wey
Vp Licensure & Certification
📞 6153416641

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #ESRD001220 taxonomy 261QE0700X

Identifiers

TypeValueNotes
05 (GA) 000972529C

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Vidalia First Street Dialysis
    Type code 3 recorded 2019-02-14
  • Vidalia First Street Dialysis
    Type code 3 recorded 2008-07-17

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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