P Praxis·MD
● Active Type 2 · Organization

Renal Treatment Centers Mid Atlantic Inc

Clinic/Center·Tucker, GA· NPI 1952379133 · Enumerated 2006 · 20 years on NPI
Renal Treatment Centers Mid Atlantic Inc is 1 of 563 clinic/center organizations in Georgia.
NPI age
20 years
Enumerated 2006-03-14
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
2025-07-14
Source: monthly bulk 2026-05

How this organization compares

Across 563 active clinic/center providers in Georgia.

NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1350 Montreal Rd Ste 200
Tucker, GA 300848144
📞 6784060825fax 6784060830
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 #ESRD001189 taxonomy 261QE0700X

Identifiers

TypeValueNotes
05 (GA) 000479476M

Other names on file (2)

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

  • Northlake Dialysis
    Type code 3 recorded 2019-04-05
  • Northlake Dialysis
    Type code 3 recorded 2006-03-14

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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