Medlock Bridge Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1245869619

Medlock Bridge Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jasper, Georgia. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2020.

CMS rating: 3 of 5
In the registry since: 2020

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 852584)

Practice location Address checks out

700 N Main St
Jasper, GA 30143-1404
Phone: (678) 387-1274
Fax: (678) 387-1292

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X

Record details

NPI number	1245869619
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names	Mountainside Dialysis; Mountainside Dialysis
NPI enumerated	April 7, 2020
Last updated in NPPES	December 29, 2025
Certification date	December 29, 2025
Mailing address	5200 Virginia Way, Att: L&C Dept, Brentwood, TN 37027-7569