Sandlin Dialysis LLC

Primary specialty

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

Legal business name

SANDLIN DIALYSIS LLC

Doing business as

Greeneville Dialysis

Practice address

110 Heritage CT
Greeneville, TN 37743-2081

Phone

(423) 639-2110

Fax

(423) 639-2071

NPI assigned

Mar 2, 2012

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

• Greeneville Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

DaVita Greeneville DialysisCCN 442716

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Sep 17, 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 1

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Castle Rock, CO
  • NPI 1386928430

  Member Of

  NPD member

Locations

Practitioners 1

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

• Martin Quan Tran, DO

  • Nephrology Physician
  • Johnson City, TN
  • NPI 1851395891
  NPD (past)

Affiliated clinicians 2

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

• Lara Wahib Kfoury, MD

  • Nephrology Physician
  • Johnson City, TN
  • NPI 1700074416

  Dialysis facility

  Care Compare affiliation Name & address match
• Martin Quan Tran, DO

  • Nephrology Physician
  • Johnson City, TN
  • NPI 1851395891

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1275807687",
    "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": "110 HERITAGE CT",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377432081",
            "telephone_number": "423-639-2110",
            "fax_number": "423-639-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDLIN DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442716",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greeneville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greeneville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rural Health Services Consortium of Upper East Tennessee Inc
• William Forrest Rymer, SLPE
• Remy Sagadraca, MD
• Valerie O'Darlene Sams, RDH
• Debra Sandercock
• Alisia Marie Santillan Askew, PTA
• Ariana Catherine Sarantidis, RN, BSN
• Suranny Sarria, FNP-C
• Eva Karol Sasala, FNP
• Leslie Michelle Sauceman, BSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Greeneville, TN
• Providers in Greeneville, TN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.