Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

DVA Renal Healthcare Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1932177110

DVA Renal Healthcare Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

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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Practice location Address checks out

567 N Ave NE Ste 100
Atlanta, GA 30308-2721
Phone: (404) 745-9580
Fax: (404) 745-9155
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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 ESRD001025 (GA)

Record details

NPI number1932177110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Winstel — Chief Accounting Officer · (253) 733-4501
Other names Ponce City Dialysis; Ponce City Dialysis
NPI enumeratedMarch 14, 2006
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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