OrganizationActive
Dialysis Clinic Inc.
NPI 1194758573 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Blakely, GA
Provider details
- NPI number
- 1194758573
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donovan Schultz, President(615) 327-3061
- License
- ESRD001080 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
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
11135 Columbia St
Blakely, GA 39823-3475
Phone: (229) 723-5054
Fax: (229) 723-6121
Street-level locationGet directions
Mailing address
337 5th Ave
Albany, GA 31701-2029
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.