Jackson Dialysis Center
Jackson Dialysis Center is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jackson, GA, holding Type 2 (organization) NPI 1033329198 since 2007. The authorized official on file is Babatunde Fariyike, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1033329198 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Dialysis Center |
| Practice address | 794 MCDONOUGH RD, SUITE 108, Jackson, GA, 30233 |
| Phone | 7705049525 |
| Enumeration date | 2007-05-23 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Babatunde Fariyike |
|---|---|
| Title | Medical Director |
| Phone | 7066478065 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | — | GA |
Copy-ready billing details
Provider: Jackson Dialysis Center NPI: 1033329198 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 794 MCDONOUGH RD, SUITE 108, Jackson, GA, 30233
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558330522 | Renal Treatment Centers Mid Atlantic Inc | Organization | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Jackson, GA |
| 1376575225 | Bennie White | Individual | Family Medicine Physician | Jackson, GA |
| 1306025630 | Derrell Leggett | Individual | Interventional Pain Medicine Physician | Jackson, GA |
| 1306019104 | Bennie R White Jr MD Inc | Organization | Primary Care Clinic/Center | Jackson, GA |
| 1093963944 | South Georgia Treatment, Inc | Organization | Methadone Clinic | Jackson, GA |
| 1992943195 | Dana Bass Burch | Individual | Medical Physician Assistant | Jackson, GA |
| 1306126529 | Jaimi Norrell | Individual | Family Nurse Practitioner | Jackson, GA |
| 1750789947 | Select Interventional Pain, PC | Organization | Interventional Pain Medicine Physician | Jackson, GA |
Verify this record
Cross-check NPI 1033329198 against the authoritative CMS record: view Jackson Dialysis Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jackson Dialysis Center?
Who is the authorized official for Jackson Dialysis Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.