NPI age
12 years
Enumerated 2014-01-27
● Active Type 2 · Organization
Subpart
Innovative Home Dialysis Of Georgia, Llc
Innovative Home Dialysis Of Georgia, Llc is 1 of 563 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Weinberg
Senior Vice President
Last NPPES update
2017-01-25
Source: monthly bulk 2026-05
How this organization compares
Across 563 active clinic/center providers in Georgia.
NPI age
12 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-01Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
3753 Marietta Hwy, Suite 100
Canton, GA 301148328
Mailing address
Po Box 251549
Plano, TX 750251500
Authorized official
Thomas L. Weinberg
Senior Vice President
📞 2147362700
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003154586A |
Practice context
Single-site organization. Only one practice location on file.
Subpart of U.s. Renal Care, Inc..
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.