Carlsbad Dialysis LLC

Primary specialty

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

Legal business name

CARLSBAD DIALYSIS LLC

Practice address

1275 Cleveland Ave
1St FL
East Point, GA 30344-3433

Phone

(404) 305-9080

Fax

(404) 305-9084

NPI assigned

Jul 29, 2013

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 2

Other names 1

• South Fulton Home Training Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

DaVita South Fulton Home TrainingCCN 112880

Ownership

Profit

Certified

Apr 30, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

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
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1326480567",
    "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": "1275 CLEVELAND AVE",
            "address_2": "1ST FL",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443433",
            "telephone_number": "404-305-9080",
            "fax_number": "404-305-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSBAD DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "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": "003146123A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "11D2066342",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Fulton Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Fulton Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camp Creek Aim, LLC
• Camp Creek Expresscare, LLC
• Camp Creek Women'S Health Center
• Claudia Victoria Cano Johnson, N.P.
• Careamid Services
• Kitty B Carter-Wicker, MD
• Joy Carter
• Kisha Nicole Carter, D.M.D.
• Lennard Cason, DMD
• Deborah Sarita Cathcart, NP-C

• 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 18, 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.