P Praxis·MD
● Active Type 2 · Organization

Sunack Dialysis, Llc

Clinic/Center·Moultrie, GA· NPI 1831859438 · Enumerated 2021 · 4 years on NPI
Sunack Dialysis, Llc is 1 of 563 clinic/center organizations in Georgia.
NPI age
4 years
Enumerated 2021-12-22
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
2025-07-14
Source: monthly bulk 2026-05

How this organization compares

Across 563 active clinic/center providers in Georgia.

NPI age
4 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2021 → 2026

2021-12Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
22 S Main St
Moultrie, GA 317684573
📞 2297851263fax 2297851284
Mailing address
5200 Virginia Way, L&c Department
Brentwood, TN 370277569

Authorized official

Samuel Wey
Vp Licensure & Certification
📞 6153416641

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QE0700X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Moultrie Home Training
    Type code 3 recorded 2025-07-14
  • Moultrie Home Training
    Type code 3 recorded 2021-12-22

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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