Shone Dialysis LLC

Primary specialty

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

Legal business name

SHONE DIALYSIS LLC

Practice address

10132 Carlin Dr
Covington, GA 30014-3651

Phone

(770) 385-8008

Fax

(770) 385-7287

NPI assigned

Feb 24, 2014

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 1

Other names 1

• Newton County Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

DaVita Newton County DialysisCCN 112883

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Jul 15, 2014

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
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Affiliated clinicians 2

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

• Mazen A Abdalla, M.D.

  • Nephrology Physician
  • Snellville, GA
  • NPI 1467420893

  Dialysis facility

  Care Compare affiliation Name & address match
• Abhinandan Reddy Pakanati, M.D

  • Nephrology Physician
  • Snellville, GA
  • NPI 1710256912

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1508281817",
    "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": "10132 CARLIN DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143651",
            "telephone_number": "770-385-8008",
            "fax_number": "770-385-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHONE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "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": "003148636A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton County Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosalind D Sherrill, ED.D, CCC-SLP
• Sheela Sheth, MD
• Shante L Shipp, LPC
• Makayla Nicole Shirley, PHARMD
• Ademola Shofoluwe, M.D.
• Donald Showalter, PT, CHT
• Jacqueline Susann Shriver, M.ED,FAAA
• Sierra Private Homecare, Inc.
• Simpli Speaking Counseling, LLC
• Aliya Simpson

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Covington, GA
• Providers in Covington, 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 May 14, 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.