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SOUTHWEST ATLANTA DIALYSIS CENTERS LLC
NPI 1861461790
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Atlanta, GA

Active since March 14, 2006CLIA 11D0669152 · Waiver
1/5
Overall Rating
3620 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30331(404) 696-7303(404) 699-1656 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2025, Apr 29, 2024, Oct 29, 2020 and 1 more (4 updates tracked since 2018).

About Southwest Atlanta Dialysis Centers Llc NPPES

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

SOUTHWEST ATLANTA DIALYSIS CENTERS LLC (NPI 1861461790), doing business as Southwest Atlanta Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Atlanta, Georgia and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Samuel T. Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1861461790
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSOUTHWEST ATLANTA DIALYSIS CENTERS LLC
Location Address3620 MARTIN LUTHER KING JR DR SWAtlanta, GA 30331
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(404) 696-7303
Fax(404) 699-1656
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMarch 14, 2006
Last NPPES UpdateMay 14, 20254 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1861461790 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 · ESRD001027
3620 MARTIN LUTHER KING JR DR SW, Atlanta, GA 30331
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthwest Atlanta Dialysis Center

Other Identifiers 1

Medicaid000407448AGA

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 ›

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 11D0669152

Southwest Atlanta Dialysis Center · Atlanta, GA
Active · expires Aug 31, 2026
CLIA Number11D0669152
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorWilliam Cleveland
Laboratory Phone(404) 696-7303
Laboratory LocationSouthwest Atlanta Dialysis Center3620 Martin Luther King Drive, Atlanta, GA 30331
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 DaVita Southwest Atlanta Dialysis Center (CMS certification number 112523), from CMS Care Compare.

DaVita Southwest Atlanta Dialysis Center

Dialysis facility · Atlanta, GA
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number112523
ESRD NetworkNetwork 6
Hemodialysis Stations34
Medicare-Certified SinceJune 24, 1981
Location3620 MARTIN LUTHER KING JR DRIVE SWAtlanta, GA 30331 · Fulton County
Phone(404) 696-7303
Services Offered
In-center hemodialysis

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.

DR. MICHEL BRATHWAITE MD
Internal Medicine (Nephrology)
3620 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30331
Fulton County (404) 696-7300
YOMARIS FIGUEROA RAMIREZ RDN, LDN, RYT
Dietitian, Registered
3620 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30331
Fulton County (404) 696-7300
ROSELINE OTUNGA FNP
Nurse Practitioner (Family)
3620 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30331
Fulton County (404) 696-7300
NICOLE M BROWN PA-C
Physician Assistant (Medical)
3620 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30331
Fulton County (404) 696-7300
MS. NADINE ANGELA ENNIS P.A.C.
Physician Assistant (Medical)
3620 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30331
Fulton County (404) 696-7300

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 Southwest Atlanta Dialysis Centers LLC's NPI number?

The NPI number for Southwest Atlanta Dialysis Centers LLC is 1861461790. It was assigned to this organization in the NPPES registry on March 14, 2006. The provider is doing business as Southwest Atlanta Dialysis Center.

Where is Southwest Atlanta Dialysis Centers LLC located?

Southwest Atlanta Dialysis Centers LLC is located at 3620 Martin Luther King Jr Dr SW, Atlanta, GA 30331. The listed phone number is (404) 696-7303.

What is Southwest Atlanta Dialysis Centers 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 Southwest Atlanta Dialysis Centers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0669152) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Southwest Atlanta Dialysis Centers LLC a Medicare-certified dialysis facility?

Yes. DaVita Southwest Atlanta Dialysis Center is a Medicare-certified dialysis facility, certified since June 24, 1981.

What quality rating does Southwest Atlanta Dialysis Centers LLC have?

CMS rates DaVita Southwest Atlanta 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 Southwest Atlanta Dialysis Centers 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 9 other insurers list Southwest Atlanta Dialysis Centers 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 Southwest Atlanta Dialysis Centers LLC was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.