Kearn Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

110087 Issued in TX

Legal business name

KEARN DIALYSIS LLC

Doing business as

Georgetown Dialysis

Practice address

201 FM 971
Georgetown, TX 78626-4631

Phone

(512) 819-9636

Fax

(512) 863-8173

NPI assigned

Dec 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Georgetown Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita Georgetown DialysisCCN 672687

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Dec 14, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

12

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Bainbridge Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Worth, TX
  • NPI 1699041152

  Member Of

  NPD member
• Renal Treatment Centers-Southeast, LP.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Donna, TX
  • NPI 1902353543

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Reed Hines, MD

  • Nephrology Physician
  • Austin, TX
  • NPI 1063446359
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Peter B Hines, MD

  • Nephrology Physician
  • Cedar Park, TX
  • NPI 1932244506

  Dialysis facility

  Care Compare affiliation Name & address match
• Timothy Reed Hines, MD

  • Nephrology Physician
  • Austin, TX
  • NPI 1063446359

  Dialysis facility

  Care Compare affiliation Name & address match
• Stephen C Wells, MD

  • Nephrology Physician
  • Cedar Park, TX
  • NPI 1164602835

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1033411608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FM 971",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264631",
            "telephone_number": "512-819-9636",
            "fax_number": "512-863-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARN DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "110087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3132763-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Georgetown Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendall Marie Kannmacher
• Alexander Morris Kaplan, M.D., M.P.H.
• Jessica Kassise, OTR
• Paul Alex Katigbak, M.D.
• Katrina Fairchild, PLLC
• Konnar Kechely, PT, DPT
• Jenna Kellogg, M.S., CCC-SLP
• Kelly M. Gonzales, DDS, PC
• Kelly M. McCabe, LPC-S, LMFT-S, PLLC
• Crystal Kelly, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgetown, TX
• Providers in Georgetown, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.