MOUNTAIN PARK DIALYSIS CENTER, LLC
NPI 1053976613
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Marietta, GA

Q: What is Mountain Park Dialysis Center, LLC's NPI number?

The NPI number for Mountain Park Dialysis Center, LLC is 1053976613. It was assigned to this organization in the NPPES registry on May 8, 2019. The provider is doing business as Sandy Plains Dialysis.

Q: What is Mountain Park Dialysis Center, 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.

Q: What quality rating does Mountain Park Dialysis Center, LLC have?

CMS rates DaVita Sandy Plains Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since May 08, 2019

3/5

Overall Rating

2550 SANDY PLAINS RD STE 160, MARIETTA, GA 30066(770) 509-1065(770) 509-9912 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2025, Mar 31, 2025, Feb 17, 2021 and 1 more (4 updates tracked since 2019).

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About Mountain Park Dialysis Center, Llc NPPES

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

MOUNTAIN PARK DIALYSIS CENTER, LLC (NPI 1053976613), doing business as Sandy Plains Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Marietta, Georgia and active in the NPI registry since May 2019. The organization lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1053976613

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameMOUNTAIN PARK DIALYSIS CENTER, LLC

Location Address2550 SANDY PLAINS RD STE 160Marietta, GA 30066-7210

Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569

Phone(770) 509-1065

Fax(770) 509-9912

Organization SubpartNo

Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641

Enumeration DateMay 8, 2019

Last NPPES UpdateSeptember 17, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1053976613 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

2550 SANDY PLAINS RD STE 160, Marietta, GA 30066

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Other Names 1

Doing Business AsSandy Plains Dialysis

Other Identifiers 1

Medicaid003231664AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Sandy Plains Dialysis (CMS certification number 852570), from CMS Care Compare.

DaVita Sandy Plains Dialysis

Dialysis facility · Marietta, GA

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number852570

ESRD NetworkNetwork 6

Hemodialysis Stations13

Medicare-Certified SinceFebruary 18, 2020

Location2250 Sandy Plains Road Suite 160Marietta, GA 30066 · Cobb County

Phone(770) 509-1065

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 Mountain Park Dialysis Center, LLC's NPI number?

The NPI number for Mountain Park Dialysis Center, LLC is 1053976613. It was assigned to this organization in the NPPES registry on May 8, 2019. The provider is doing business as Sandy Plains Dialysis.

Where is Mountain Park Dialysis Center, LLC located?

Mountain Park Dialysis Center, LLC is located at 2550 Sandy Plains Rd Ste 160, Marietta, GA 30066. The listed phone number is (770) 509-1065.

What is Mountain Park Dialysis Center, 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.

Is Mountain Park Dialysis Center, LLC a Medicare-certified dialysis facility?

Yes. DaVita Sandy Plains Dialysis is a Medicare-certified dialysis facility, certified since February 18, 2020.

What quality rating does Mountain Park Dialysis Center, LLC have?

CMS rates DaVita Sandy Plains Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Mountain Park Dialysis Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 9 other insurers list Mountain Park Dialysis Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain Park Dialysis Center, LLC was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.