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FILLMORE DIALYSIS, LLC
NPI 1659915882
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Loganville, GA

Active since October 31, 2019
4/5
Overall Rating
4555 ATLANTA HWY STE M, LOGANVILLE, GA 30052(770) 466-2582(770) 466-3062 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2025, Nov 18, 2024, Feb 8, 2023 and 2 more (5 updates tracked since 2019).

About Fillmore Dialysis, Llc NPPES

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

FILLMORE DIALYSIS, LLC (NPI 1659915882), doing business as Grayson Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Loganville, Georgia and active in the NPI registry since October 2019. The organization lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1659915882
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFILLMORE DIALYSIS, LLC
Location Address4555 ATLANTA HWY STE MLoganville, GA 30052-2646
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(770) 466-2582
Fax(770) 466-3062
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateOctober 31, 2019
Last NPPES UpdateDecember 23, 20255 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1659915882 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
4555 ATLANTA HWY STE M, Loganville, GA 30052
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Other Names 1

Doing Business AsGrayson Dialysis

Other Identifiers 1

Medicaid003234223AGA

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 Grayson Dialysis (CMS certification number 852572), from CMS Care Compare.

DaVita Grayson Dialysis

Dialysis facility · Loganville, GA
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number852572
ESRD NetworkNetwork 6
Hemodialysis Stations17
Medicare-Certified SinceMay 20, 2020
Location4555 Atlanta Hwy Suite MLoganville, GA 30052 · Walton County
Phone(770) 466-2582
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 Fillmore Dialysis, LLC's NPI number?

The NPI number for Fillmore Dialysis, LLC is 1659915882. It was assigned to this organization in the NPPES registry on October 31, 2019. The provider is doing business as Grayson Dialysis.

Where is Fillmore Dialysis, LLC located?

Fillmore Dialysis, LLC is located at 4555 Atlanta Hwy Ste M, Loganville, GA 30052. The listed phone number is (770) 466-2582.

What is Fillmore 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 Fillmore Dialysis, LLC a Medicare-certified dialysis facility?

Yes. DaVita Grayson Dialysis is a Medicare-certified dialysis facility, certified since May 20, 2020.

What quality rating does Fillmore Dialysis, LLC have?

CMS rates DaVita Grayson Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Fillmore Dialysis, 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 Fillmore 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 Fillmore Dialysis, LLC was last updated on December 23, 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.