East Macon Dialysis Center – End-Stage Renal Disease (ESRD) Treatment Clinic/Center, NPI 1073582425
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for East Macon Dialysis Center
165 EMERY HWY STE 101
MACON, GA 312173617
Phone: (478) 755-1144
Fax: (478) 755-1127
Type: Location
5200, Virginia Way, Iroquois Estates, Brentwood, Williamson County, Tennessee, 37027, United States
BRENTWOOD, TN 370277569
Phone:
Type: Mailing
165, Emery Highway, Macon, Bibb County, Georgia, 31217, United States
SUITE 101
MACON, GA 31217
Phone: (478) 755-1144
Fax: (478) 755-1127
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-10-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (773 days ago).
Enrollment records
1
Earliest due date
2024-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20051014000341 | O | End-Stage Renal Disease Facility (Esrd) | GA | 2024-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31217)
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