Lapham Dialysis LLC

Primary specialty

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

Legal business name

LAPHAM DIALYSIS LLC

Practice address

449 Industrial Blvd
Ste 245
Ellijay, GA 30540-3772

Phone

(706) 276-6040

Fax

(706) 276-6041

NPI assigned

Jul 23, 2013

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ellijay Home Training Doing business as

Member of 2

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

• North Atlanta Nephrology LLC

  • Nephrology Physician
  • Canton, GA
  • NPI 1154411437

  Member Of

  NPD member
• 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": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1447692140",
    "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",
            "telephone_number": "615-320-4268",
            "fax_number": "877-238-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 INDUSTRIAL BLVD",
            "address_2": "STE 245",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403772",
            "telephone_number": "706-276-6040",
            "fax_number": "706-276-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPHAM DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "11D2068046",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003140980A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellijay Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellijay Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• KJC Unlimited
• Megan Louise Konrad, COTA/L
• Barbara Ann Kroninger, DDS
• David Andrew Krout, PT
• Kayla Landaverde
• Robert W Lee, DC
• Lifetime Medical Center, PC
• Lighthouse Treatment Centers of Georgia LLC
• Chelsea Lineberry
• Jennifer Nicole Lorey, LMSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ellijay, GA
• Providers in Ellijay, 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 Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.