Emory Dialysis, LLC

Primary specialty

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

Legal business name

EMORY DIALYSIS, LLC

Doing business as

Emory Dialysis at Greenbriar

Practice address

1000 Centre Pkwy Ste 180
East Point, GA 30344-8119

Phone

(404) 778-1001

Fax

(404) 649-2645

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Agee-Clark Johnson, MBA

Title

Credentialing Coord.

Phone

(229) 387-3528

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emory Dialysis at Greenbriar Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Emory Dialysis, LLC

  dba Emory Dialysis at Northside

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Atlanta, GA
  • NPI 1013142843

  9931249364

  Same PAC ID
• Emory Dialysis, LLC

  dba Emory Dialysis at North Decatur

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Decatur, GA
  • NPI 1225552391

  9931249364

  Same PAC ID
• Emory Dialysis, LLC

  dba Emory Dialysis Saint Joseph's

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Atlanta, GA
  • NPI 1477985992

  9931249364

  Same PAC ID
• Emory Dialysis, LLC

  dba Emory Dialysis at Candler

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Decatur, GA
  • NPI 1972746204

  9931249364

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229

  O20091216000474

  Same enrollment

Listed as

Emory Dialysis at GreenbriarCCN 112823

Overall star rating

3.0 of 5

Ownership

Non-profit

Certified

Feb 4, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

36

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

CLIA laboratory certificates

Tax ID family

Emory Dialysis5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Emory Dialysis, LLC

  dba Emory Dialysis at Northside

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Atlanta, GA
  • NPI 1013142843
  NPD tax ID
• Emory Dialysis, LLC

  dba Emory Dialysis at North Decatur

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Decatur, GA
  • NPI 1225552391
  NPD tax ID
• Emory Dialysis, LLC

  dba Emory Dialysis Saint Joseph's

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Atlanta, GA
  • NPI 1477985992
  NPD tax ID
• Emory Dialysis, LLC

  dba Emory Dialysis at Candler

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Decatur, GA
  • NPI 1972746204
  NPD tax ID

Member of 1

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

• The Emory Clinic Inc

  dba Emory Ambulatory Surgery Center at Dunwoody, LLC

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1811765902

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Jason Cobb, MD

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1407026818

  Dialysis facility

  Care Compare affiliation Name & address match
• Janice I Lea, M.D.

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1750391769

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1316180649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7710",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317937710",
            "telephone_number": "229-387-3528",
            "fax_number": "229-386-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CENTRE PKWY STE 180",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303448119",
            "telephone_number": "404-778-1001",
            "fax_number": "404-649-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMORY DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "AGEE-CLARK",
        "authorized_official_title_or_position": "CREDENTIALING COORD.",
        "authorized_official_telephone_number": "229-387-3528",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "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": "560186658A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emory Dialysis at Greenbriar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in East Point, GA
• Providers in East Point, GA by specialty
• 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 9, 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.