1. Home
  2. Directory
  3. Georgia
  4. Jasper
  5. Clinic Center
  6. NPI Profile

MEDLOCK BRIDGE DIALYSIS LLC
NPI 1245869619
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jasper, GA

Active since April 07, 2020
3/5
Overall Rating
700 N MAIN ST, JASPER, GA 30143(678) 387-1274(678) 387-1292 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2025, Apr 7, 2023, Feb 22, 2023 and 2 more (5 updates tracked since 2020).

About Medlock Bridge Dialysis Llc NPPES

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

MEDLOCK BRIDGE DIALYSIS LLC (NPI 1245869619), doing business as Mountainside Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jasper, Georgia and active in the NPI registry since April 2020. The organization lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1245869619
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMEDLOCK BRIDGE DIALYSIS LLC
Location Address700 N MAIN STJasper, GA 30143-1404
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(678) 387-1274
Fax(678) 387-1292
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateApril 7, 2020
Last NPPES UpdateDecember 29, 20255 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1245869619 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
700 N MAIN ST, Jasper, GA 30143
Open in Google Maps ↗

Other Names 1

Doing Business AsMountainside Dialysis

Accepted Insurance

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

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Mountainside Dialysis (CMS certification number 852584), from CMS Care Compare.

DaVita Mountainside Dialysis

Dialysis facility · Jasper, GA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number852584
ESRD NetworkNetwork 6
Hemodialysis Stations13
Medicare-Certified SinceJanuary 21, 2021
Location700 NORTH MAIN STREETJasper, GA 30143 · Pickens County
Phone(678) 387-1274
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 Medlock Bridge Dialysis LLC's NPI number?

The NPI number for Medlock Bridge Dialysis LLC is 1245869619. It was assigned to this organization in the NPPES registry on April 7, 2020. The provider is doing business as Mountainside Dialysis.

Where is Medlock Bridge Dialysis LLC located?

Medlock Bridge Dialysis LLC is located at 700 N Main St, Jasper, GA 30143. The listed phone number is (678) 387-1274.

What is Medlock Bridge 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.

Is Medlock Bridge Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Mountainside Dialysis is a Medicare-certified dialysis facility, certified since January 21, 2021.

What quality rating does Medlock Bridge Dialysis LLC have?

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

What insurance does Medlock Bridge Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Medlock Bridge 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 Medlock Bridge Dialysis LLC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.