Drg Fayette, PLLC
NPI 1649556721 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fayette, MS
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Drg Fayette, PLLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Fayette, MS (NPI 1649556721).
Provider details
- NPI number
- 1649556721
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tunde Olutade, Owner(601) 899-3340
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
14 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
- Diversified Renal Group Home Dialysis
Registry dates
- Enumerated
- 2011-11-02
- Last updated
- 2011-11-14
Frequently asked questions
- What is Drg Fayette, PLLC's NPI number?
- Drg Fayette, PLLC's National Provider Identifier (NPI) is 1649556721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Drg Fayette, PLLC?
- Drg Fayette, PLLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Drg Fayette, PLLC located?
- Drg Fayette, PLLC's practice location on file with NPPES is 1005 Main Street, Fayette, MS 39069.
- What is Drg Fayette, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Drg Fayette, PLLC is (601) 488-1070.
- Does Drg Fayette, PLLC accept Medicare?
- Drg Fayette, PLLC 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 Drg Fayette, PLLC?
- The authorized official listed on Drg Fayette, PLLC's NPPES record is Tunde Olutade, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Drg Fayette, PLLC's NPI active?
- Yes — Drg Fayette, PLLC's NPI (1649556721) is active in the NPPES registry as of the last update on 2011-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.