Washburne Dialysis LLC

Primary specialty

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

Legal business name

WASHBURNE DIALYSIS LLC

Doing business as

Southwest Atlanta Home Training

Practice address

3201 Atlanta Industrial Pkwy NW
Ste 101
Atlanta, GA 30331-1045

Phone

(404) 691-1162

Fax

(404) 696-0900

NPI assigned

Apr 9, 2015

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

• Southwest Atlanta Home Training Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

  dba Cascade Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• A G Rhodes Home Inc

  • Nursing Home Administrator
  • Atlanta, GA
  • NPI 1386648962

  Operational/Managerial Control

  CMS ownership
• A. G. Rhodes Home Inc. at Wesley Woods

  • Skilled Nursing Facility
  • Atlanta, GA
  • NPI 1821091463

  Adp of the SNF

  CMS ownership

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1790171486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: 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": "3201 ATLANTA INDUSTRIAL PKWY NW",
            "address_2": "STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303311045",
            "telephone_number": "404-691-1162",
            "fax_number": "404-696-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHBURNE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-16",
        "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": "003175097A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Atlanta Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Atlanta Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wary's Ministry Inc
• Faith A. Wascovich, M.S.W.
• Christy Wasden
• Marilyn D Washburn, MD
• Megan McLees Washburn, PT, DPT
• Selena Washcage, RDH
• Tonia Washington Hoskins, PHD, LCSW
• Akiscia Washington, LMT
• Alexis Washington
• Angel Z. Washington, CCC SLP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Atlanta, GA
• Providers in Atlanta, 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 Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.