Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mountain Park Dialysis Center, LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1053976613

Mountain Park Dialysis Center, LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Marietta, Georgia. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2019.

CMS rating
3 of 5
In the registry since
2019
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 852570)

Practice location Address checks out

2550 Sandy Plains Rd Ste 160
Marietta, GA 30066-7210
Phone: (770) 509-1065
Fax: (770) 509-9912
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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 number1053976613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names Sandy Plains Dialysis; Sandy Plains Dialysis
NPI enumeratedMay 8, 2019
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address5200 Virginia Way, Att: L&C Dept, Brentwood, TN 37027-7569

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