NPI age
6 years
Enumerated 2019-10-31
● Active Type 2 · Organization
Fillmore Dialysis, Llc
Fillmore 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
2025-12-23
Source: monthly bulk 2026-05
How this organization compares
Across 563 active clinic/center providers in Georgia.
NPI age
6 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-10Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
4555 Atlanta Hwy Ste M
Loganville, GA 300522646
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 370277569
Authorized official
Samuel T Wey
Vp Licensure & Certification
📞 6153416641
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003234223A |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Grayson Dialysis
-
Grayson Dialysis
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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