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SOUTH HENRY DIALYSIS LLC
NPI 1235317454
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mcdonough, GA

Active since February 11, 2008CLIA 11D1084851 · Waiver
1/5
Overall Rating
1095 HENRY PARKWAY CONNECTOR, MCDONOUGH, GA 30253(678) 565-6228(770) 996-6279 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Henry Dialysis Llc NPPES

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

SOUTH HENRY DIALYSIS LLC (NPI 1235317454) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mcdonough, Georgia and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Sheila Dixon, Controller, as its authorized official.

NPPES Registry Identity

NPI1235317454
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSOUTH HENRY DIALYSIS LLC
Location Address1095 HENRY PARKWAY CONNECTORMcdonough, GA 30253-6669
Mailing Address3580 Cameron PkwyStockbridge, GA 30281-7816 · (678) 565-6228 · Fax (770) 996-6279
Phone(678) 565-6228
Fax(770) 996-6279
Organization SubpartNo
Authorized OfficialSheila DixonController · (678) 565-6228
Enumeration DateFebruary 11, 2008
Last NPPES UpdateDecember 5, 2014
✔ NPI 1235317454 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
1095 HENRY PARKWAY CONNECTOR, Mcdonough, GA 30253
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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 ›

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 11D1084851

South Henry Dialysis LLC · Mcdonough, GA
Active · expires Jun 4, 2028
CLIA Number11D1084851
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorMohamad M. Kassem
Laboratory Phone(678) 565-6228
Laboratory LocationSouth Henry Dialysis LLC1095 Henry Parkway Connector, Mcdonough, GA 30253
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 South Henry Dialysis Center (CMS certification number 112799), from CMS Care Compare.

South Henry Dialysis Center

Dialysis facility · Mcdonough, GA
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number112799
ESRD NetworkNetwork 6
Hemodialysis Stations16
Medicare-Certified SinceJuly 2, 2008
Location1095 HENRY PARKWAY CONNECTORMcdonough, GA 30252 · Henry County
Phone(678) 688-3507
Services Offered
In-center hemodialysis

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 South Henry Dialysis LLC's NPI number?

The NPI number for South Henry Dialysis LLC is 1235317454. It was assigned to this organization in the NPPES registry on February 11, 2008.

Where is South Henry Dialysis LLC located?

South Henry Dialysis LLC is located at 1095 Henry Parkway Connector, Mcdonough, GA 30253. The listed phone number is (678) 565-6228.

What is South Henry 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 South Henry Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1084851) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is South Henry Dialysis LLC a Medicare-certified dialysis facility?

Yes. South Henry Dialysis Center is a Medicare-certified dialysis facility, certified since July 2, 2008.

What quality rating does South Henry Dialysis LLC have?

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

What insurance does South Henry Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list South Henry Dialysis 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 South Henry Dialysis LLC was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.