Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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DVA Healthcare Renal Care Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1366410417

DVA Healthcare Renal Care Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Valdosta, Georgia. Medicare rates this dialysis facility 2 out of 5. Licensed in Georgia.

CMS rating
2 of 5
Licensed in
GA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

2 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 112515)

Practice location Address checks out

2704 N Oak St Bldg H
Valdosta, GA 31602-1723
Phone: (229) 247-4857
Fax: (229) 245-8658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X · Licence ESRD001147 (GA)

Record details

NPI number1366410417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names Oak Street Dialysis; Oak Street Dialysis
NPI enumeratedMarch 14, 2006
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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