Valdosta Kidney Clinic, LLC
NPI 1215109087 · Specialist · Valdosta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Valdosta Kidney Clinic, LLC is a Specialist organization in Valdosta, GA (NPI 1215109087).
Provider details
- NPI number
- 1215109087
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Maria Ester Chiang, Manager(229) 244-6544
- License
- 054594 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Registry dates
- Enumerated
- 2008-04-01
- Last updated
- 2012-04-05
Frequently asked questions
- What is Valdosta Kidney Clinic, LLC's NPI number?
- Valdosta Kidney Clinic, LLC's National Provider Identifier (NPI) is 1215109087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Valdosta Kidney Clinic, LLC?
- Valdosta Kidney Clinic, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Valdosta Kidney Clinic, LLC located?
- Valdosta Kidney Clinic, LLC's practice location on file with NPPES is 410 Cowart Ave, Valdosta, GA 31602-2622.
- What is Valdosta Kidney Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Valdosta Kidney Clinic, LLC is (229) 244-6544.
- Does Valdosta Kidney Clinic, LLC accept Medicare?
- Valdosta Kidney Clinic, 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 Valdosta Kidney Clinic, LLC?
- The authorized official listed on Valdosta Kidney Clinic, LLC's NPPES record is Maria Ester Chiang, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Valdosta Kidney Clinic, LLC's NPI active?
- Yes — Valdosta Kidney Clinic, LLC's NPI (1215109087) is active in the NPPES registry as of the last update on 2012-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.