Dva Renal Healthcare Inc
NPI 1770551905 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Decatur, GA
Dva Renal Healthcare Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Decatur, GA (NPI 1770551905).
Provider details
- NPI number
- 1770551905
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Winstel, Chief Accounting Officer(253) 733-4501
- License
- ESRD001004 (GA)
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
20 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
- Southern Lane Dialysis
- Doing business as
- Southern Lane Dialysis
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2020-04-01
- Certified
- 2020-04-01
Frequently asked questions
- What is Dva Renal Healthcare Inc's NPI number?
- Dva Renal Healthcare Inc's National Provider Identifier (NPI) is 1770551905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dva Renal Healthcare Inc?
- Dva Renal Healthcare Inc is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dva Renal Healthcare Inc located?
- Dva Renal Healthcare Inc's practice location on file with NPPES is 1840 Southern Ln, Decatur, GA 30033-4033.
- What is Dva Renal Healthcare Inc's phone number?
- The practice phone number listed in the NPPES registry for Dva Renal Healthcare Inc is (404) 325-8884.
- Who is the authorized official for Dva Renal Healthcare Inc?
- The authorized official listed on Dva Renal Healthcare Inc's NPPES record is John Winstel, Chief Accounting Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dva Renal Healthcare Inc's NPI active?
- Yes — Dva Renal Healthcare Inc's NPI (1770551905) is active in the NPPES registry as of the last update on 2020-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.