RENAL TREATMENT CENTERS MID ATLANTIC INC
NPI 1558330522
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jackson, GA

Q: What is Renal Treatment Centers Mid Atlantic Inc'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 Renal Treatment Centers Mid Atlantic Inc have?

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

Active since March 14, 2006

1/5

Overall Rating

794 MCDONOUGH RD, JACKSON, GA 30233(770) 504-0365(770) 504-8761 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Dec 16, 2024, Jun 6, 2024 and 3 more (6 updates tracked since 2018).

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About Renal Treatment Centers Mid Atlantic Inc NPPES

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

RENAL TREATMENT CENTERS MID ATLANTIC INC (NPI 1558330522), doing business as Grovepark Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jackson, Georgia and active in the NPI registry since March 2006. The organization lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1558330522

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameRENAL TREATMENT CENTERS MID ATLANTIC INC

Location Address794 MCDONOUGH RDJackson, GA 30233-1572

Mailing Address5200 Virginia Way, Att: L&c Dept.Brentwood, TN 37027-7569

Phone(770) 504-0365

Fax(770) 504-8761

Organization SubpartNo

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

Enumeration DateMarch 14, 2006

Last NPPES UpdateDecember 16, 20256 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1558330522 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 · ESRD001236

794 MCDONOUGH RD, Jackson, GA 30233

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Other Names 1

Doing Business AsGrovepark Dialysis

Other Identifiers 1

Medicaid000479476GGA

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 Grovepark Dialysis (CMS certification number 112741), from CMS Care Compare.

DaVita Grovepark Dialysis

Dialysis facility · Jackson, GA

1/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number112741

ESRD NetworkNetwork 6

Hemodialysis Stations12

Medicare-Certified SinceMay 28, 2004

Location794 MCDONOUGH ROAD SUITE 103Jackson, GA 30233 · Butts County

Phone(770) 504-0365

Services Offered

In-center hemodialysis

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKSON DIALYSIS CENTER

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

794 MCDONOUGH RD, SUITE 108
JACKSON, GA 30233

Butts County (770) 504-9525

SOUTH GEORGIA TREATMENT, INC

Clinic/Center (Methadone)

794 MCDONOUGH RD
JACKSON, GA 30233

Butts County (770) 775-9044

BENNIE R WHITE JR MD INC

Clinic/Center (Primary Care)

794 MCDONOUGH RD, SUITE 105
JACKSON, GA 30233

Butts County (770) 775-2341

DR. DERRELL LEVOHN LEGGETT M.D.

Pain Medicine (Interventional Pain Medicine)

794 MCDONOUGH RD, SUITE 108
JACKSON, GA 30233

Butts County (470) 251-5300

MRS. JAIMI MARIE NORRELL NP-C

Nurse Practitioner (Family)

794 MCDONOUGH RD, 111
JACKSON, GA 30233

Butts County (470) 251-5300

BENNIE R. WHITE JR. MD

Family Medicine

794 MCDONOUGH RD, SUITE 105
JACKSON, GA 30233

Butts County (770) 775-2341

JENNIFER MONSRUD NP

Nurse Practitioner (Family)

794 MCDONOUGH RD
JACKSON, GA 30233

Butts County (470) 251-5300

SELECT INTERVENTIONAL PAIN, PC

Pain Medicine (Interventional Pain Medicine)

794 MCDONOUGH RD, SUITE 108
JACKSON, GA 30233

Butts County (470) 251-5300

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 Renal Treatment Centers Mid Atlantic Inc's NPI number?

The NPI number for Renal Treatment Centers Mid Atlantic Inc is 1558330522. It was assigned to this organization in the NPPES registry on March 14, 2006. The provider is doing business as Grovepark Dialysis.

Where is Renal Treatment Centers Mid Atlantic Inc located?

Renal Treatment Centers Mid Atlantic Inc is located at 794 Mcdonough Rd, Jackson, GA 30233. The listed phone number is (770) 504-0365.

What is Renal Treatment Centers Mid Atlantic Inc'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 Renal Treatment Centers Mid Atlantic Inc a Medicare-certified dialysis facility?

Yes. DaVita Grovepark Dialysis is a Medicare-certified dialysis facility, certified since May 28, 2004.

What quality rating does Renal Treatment Centers Mid Atlantic Inc have?

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

What insurance does Renal Treatment Centers Mid Atlantic Inc 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 Renal Treatment Centers Mid Atlantic Inc 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 Renal Treatment Centers Mid Atlantic Inc was last updated on December 16, 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.