P Praxis·MD
● Active Type 2 · Organization

Wilder Dialysis Llc

Clinic/Center·Conyers, GA· NPI 1720314776 · Enumerated 2009 · 16 years on NPI
Wilder Dialysis Llc is 1 of 563 clinic/center organizations in Georgia.
NPI age
16 years
Enumerated 2009-10-27
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
2024-11-12
Source: monthly bulk 2026-05

How this organization compares

Across 563 active clinic/center providers in Georgia.

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

NPI lifetime · 2009 → 2026

2009-10Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
1501 Milstead Rd Ne
Conyers, GA 300123838
📞 7707618097fax 7707618141
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 370277569

Authorized official

Samuel T Wey
Vp Licensure & Certification
📞 6153416641

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #ESRD000745 taxonomy 261QE0700X

Identifiers

TypeValueNotes
05 (GA) 003101099A

Other names on file (2)

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

  • Conyers Dialysis
    Type code 3 recorded 2018-11-16
  • Conyers Dialysis
    Type code 3 recorded 2009-10-27

Practice context

Multi-provider organization. 5 individual providers 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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