College Park Dialysis, LLC
NPI 1174683577 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · College Park, GA
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
College Park Dialysis, LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in College Park, GA (NPI 1174683577).
Provider details
- NPI number
- 1174683577
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Fresenius Medical Care Holdings, Inc.
- Organization subpart
- Yes
- Authorized official
- Barry Blanton, Vice President(781) 699-9000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fresenius Medical Care College Park
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2023-10-16
- Certified
- 2023-10-16
Frequently asked questions
- What is College Park Dialysis, LLC's NPI number?
- College Park Dialysis, LLC's National Provider Identifier (NPI) is 1174683577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is College Park Dialysis, LLC?
- College Park Dialysis, LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is College Park Dialysis, LLC located?
- College Park Dialysis, LLC's practice location on file with NPPES is 2545 Sullivan Rd, College Park, GA 30337-6203.
- What is College Park Dialysis, LLC's phone number?
- The practice phone number listed in the NPPES registry for College Park Dialysis, LLC is (404) 591-2022.
- Does College Park Dialysis, LLC accept Medicare?
- College Park Dialysis, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for College Park Dialysis, LLC?
- The authorized official listed on College Park Dialysis, LLC's NPPES record is Barry Blanton, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is College Park Dialysis, LLC's NPI active?
- Yes — College Park Dialysis, LLC's NPI (1174683577) is active in the NPPES registry as of the last update on 2023-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.