Adair Dialysis LLC

Primary specialty

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

Legal business name

ADAIR DIALYSIS LLC

Practice address

1686 Prince Ave
Athens, GA 30606-6021

Phone

(706) 850-7400

Fax

(706) 850-7404

NPI assigned

May 15, 2018

Organization subpart

No

Name

Samuel T Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

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
  • Burlington, WA
  • NPI 1932595584
  NPD member Member Of

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

• Emad Uddin Ahmed, MD

  • Nephrology Physician
  • Athens, GA
  • NPI 1144394883
  Care Compare affiliation Name & address match Dialysis facility
• Sudha Lagudu, MD

  • Nephrology Physician
  • Watkinsville, GA
  • NPI 1720583156
  Care Compare affiliation Name & address match Dialysis facility
• Rene Benjamin Mackay, M.D.

  • Nephrology Physician
  • Athens, GA
  • NPI 1285652990
  Care Compare affiliation Name & address match Dialysis facility
• Omar Mushfiq, MD, MPH

  • Nephrology Physician
  • Gainesville, GA
  • NPI 1225068034
  Care Compare affiliation Name & address match Dialysis facility
• Julio Ernesto Pena, M.D.

  • Nephrology Physician
  • Watkinsville, GA
  • NPI 1073891198
  Care Compare affiliation Name & address match Dialysis facility

Listed as

DaVita Classic City DialysisCCN 112821

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Nov 10, 2009

Medicare certification status

Active (Provider of Services file)

Chain

DaVita

Dialysis stations

20

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in GA

Locations

• Classic City Dialysis Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2025.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1306336383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY 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": "1686 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066021",
            "telephone_number": "706-850-7400",
            "fax_number": "706-850-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "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": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015919587A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Classic City Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Recto Abrigo, RN
• Kimberly Abuajah
• Samuel Boakye Acheampong, MD
• Amabel Sarmiento Acosta, RN,APRN-NP, PMHNP-BC
• Tanya Acosta, M.S.
• Morgan Sarah Adair, DO
• Antonia Elizabeth Adams
• Danny L Adams, PA
• Joseph Tyler Adams, PT, DPT
• Leigh Adams

• All providers in Athens, GA
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.