SPALDING COUNTY DIALYSIS, LLC
NPI 1023058898
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Griffin, GA

Active since June 08, 2006CLIA 11D0990748 · Waiver
1/5
Overall Rating
744 S 8TH ST STE 100, GRIFFIN, GA 30224(770) 467-8116(770) 467-8795 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spalding County Dialysis, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPALDING COUNTY DIALYSIS, LLC (NPI 1023058898) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Griffin, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Mohamad Moussa Kassem, President, as its authorized official.

NPPES Registry Identity

NPI1023058898
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSPALDING COUNTY DIALYSIS, LLC
Location Address744 S 8TH ST STE 100Griffin, GA 30224-4827
Mailing Address744 S 8th St Ste 100Griffin, GA 30224-4827 · (770) 467-8116 · Fax (770) 467-8795
Fax(770) 467-8795
Organization SubpartNo
Authorized OfficialMohamad Moussa KassemPresident · (770) 467-8116
Enumeration DateJune 8, 2006
Last NPPES UpdateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
NPI 1023058898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License Licensed in GA · ESRD001194
744 S 8TH ST STE 100, Griffin, GA 30224

Other Identifiers 1

Medicaid00946613AGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0990748

Spalding County Dialysis · Griffin, GA
Active · expires Aug 30, 2027
CLIA Number11D0990748
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorMohammed Kassem MD
Laboratory Phone(770) 467-8116
Laboratory LocationSpalding County Dialysis744 South 8th Street, Griffin, GA 30224
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Spalding County Dialysis (CMS certification number 112696), from CMS Care Compare.

Spalding County Dialysis

Dialysis facility · Griffin, GA
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number112696
ESRD NetworkNetwork 6
Hemodialysis Stations20
Medicare-Certified SinceOctober 3, 2001
Location744 S. 8th StreetGriffin, GA 30224 · Spalding County
Services Offered
In-center hemodialysis Peritoneal dialysis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spalding County Dialysis, LLC's NPI number?

The NPI number for Spalding County Dialysis, LLC is 1023058898. It was assigned to this organization in the NPPES registry on June 8, 2006.

Where is Spalding County Dialysis, LLC located?

Spalding County Dialysis, LLC is located at 744 S 8th St Ste 100, Griffin, GA 30224. The listed phone number is (770) 467-8116.

What is Spalding County Dialysis, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Spalding County Dialysis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0990748) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Spalding County Dialysis, LLC a Medicare-certified dialysis facility?

Yes. Spalding County Dialysis is a Medicare-certified dialysis facility, certified since October 3, 2001.

What quality rating does Spalding County Dialysis, LLC have?

CMS rates Spalding County Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Spalding County Dialysis, LLC was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.