STOCKBRIDGE DIALYSIS CLINIC, LLC
NPI 1811938277
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Stockbridge, GA

Q: What is Stockbridge Dialysis Clinic, LLC's NPI number?

The NPI number for Stockbridge Dialysis Clinic, LLC is 1811938277. It was assigned to this organization in the NPPES registry on June 9, 2006.

Q: What is Stockbridge Dialysis Clinic, 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 Stockbridge Dialysis Clinic, LLC have?

CMS rates Stockbridge Dialysis Clinic,llc 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since June 09, 2006CLIA 11D1042182 · Waiver

1/5

Overall Rating

7444 HANNOVER PKWY S, SUITE 270, STOCKBRIDGE, GA 30281(678) 565-6228(678) 565-6246 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stockbridge Dialysis Clinic, Llc NPPES

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

STOCKBRIDGE DIALYSIS CLINIC, LLC (NPI 1811938277) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Stockbridge, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Mohamad Moussa Kassem, President, as its authorized official.

NPPES Registry Identity

NPI1811938277

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameSTOCKBRIDGE DIALYSIS CLINIC, LLC

Location Address7444 HANNOVER PKWY S, SUITE 270Stockbridge, GA 30281-9303

Mailing Address3588 Highway 138 Se, Pmb 344Stockbridge, GA 30281-4171 · (770) 565-6228 · Fax (770) 565-6246

Phone(678) 565-6228

Fax(678) 565-6246

Organization SubpartNo

Authorized OfficialMohamad Moussa KassemPresident · (678) 565-6228

Enumeration DateJune 9, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1811938277 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 · ESRD001247

7444 HANNOVER PKWY S, Stockbridge, GA 30281

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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 11D1042182

Stockbridge Dialysis Clinic LLC · Stockbridge, GA

Active · expires Jun 20, 2027

CLIA Number11D1042182

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJune 21, 2025

Certificate Expiration DateJune 20, 2027

Laboratory DirectorMohamad M. Kassem MD

Laboratory Phone(678) 565-6228

Laboratory LocationStockbridge Dialysis Clinic LLC3580 Cameron Parkway, Stockbridge, GA 30281

CLIA data matches this NPI record on: 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 Stockbridge Dialysis Clinic,llc (CMS certification number 112753), from CMS Care Compare.

Stockbridge Dialysis Clinic,llc

Dialysis facility · Stockbridge, GA

1/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

CMS Certification Number112753

ESRD NetworkNetwork 6

Hemodialysis Stations20

Medicare-Certified SinceSeptember 21, 2005

Location3580 Cameron ParkwayStockbridge, GA 30281 · Henry County

Phone(678) 565-6228

Services Offered

In-center hemodialysis Peritoneal dialysis

Other Providers at the Same Location NPPES 5

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

THE LIGHTED ROAD COUNSELING CENTER INC

Community/Behavioral Health

7444 HANNOVER PKWY S, SUITE 200
STOCKBRIDGE, GA 30281

Henry County (678) 232-8938

DR. ANTHONY C ONYEGBULA D.O.

Internal Medicine (Hematology & Oncology)

7444 HANNOVER PKWY S, SUITE 150
STOCKBRIDGE, GA 30281

Henry County (770) 629-2337

DE NOVO BRAIN & SPINE

Neurological Surgery

7444 HANNOVER PKWY S
STOCKBRIDGE, GA 30281

Henry County (404) 882-3592

GEORGIA SOUTH HAND THERAPY, INC

Durable Medical Equipment & Medical Supplies (Customized Equipment)

7444 HANNOVER PKWY S, SUITE 250
STOCKBRIDGE, GA 30281

Henry County (770) 474-4595

SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C.

Psychiatry & Neurology (Psychiatry)

7444 HANNOVER PKWY S, STE. 200
STOCKBRIDGE, GA 30281

Henry County (770) 506-8187

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 Stockbridge Dialysis Clinic, LLC's NPI number?

The NPI number for Stockbridge Dialysis Clinic, LLC is 1811938277. It was assigned to this organization in the NPPES registry on June 9, 2006.

Where is Stockbridge Dialysis Clinic, LLC located?

Stockbridge Dialysis Clinic, LLC is located at 7444 Hannover Pkwy S Suite 270, Stockbridge, GA 30281. The listed phone number is (678) 565-6228.

What is Stockbridge Dialysis Clinic, 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 Stockbridge Dialysis Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1042182) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Stockbridge Dialysis Clinic, LLC a Medicare-certified dialysis facility?

Yes. Stockbridge Dialysis Clinic,llc is a Medicare-certified dialysis facility, certified since September 21, 2005.

What quality rating does Stockbridge Dialysis Clinic, LLC have?

CMS rates Stockbridge Dialysis Clinic,llc 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Stockbridge Dialysis Clinic, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Stockbridge Dialysis Clinic, 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 Stockbridge Dialysis Clinic, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.