NPI age
8 years
Enumerated 2017-11-03
● Active Type 2 · Organization
Leawood Dialysis Llc
Leawood Dialysis Llc is 1 of 563 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wey
Vp, Licensure & Certification
Last NPPES update
2025-10-17
Source: monthly bulk 2026-05
How this organization compares
Across 563 active clinic/center providers in Georgia.
NPI age
8 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-11Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
640 Martin Luther King JR Blvd Ste 100
MacOn, GA 312013297
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 370277569
Authorized official
Samuel Wey
Vp, Licensure & Certification
📞 6153416641
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 907820770A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kidney Dialysis Center
Practice context
Single-site organization. Only one practice location on file.
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