Sunack Dialysis, LLC

Primary specialty

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

Legal business name

SUNACK DIALYSIS, LLC

Practice address

22 S Main St
Moultrie, GA 31768-4573

Phone

(229) 785-1263

Fax

(229) 785-1284

NPI assigned

Dec 22, 2021

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 names 1

• Moultrie Home Training Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

DaVita Moultrie Home TrainingCCN 852591

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jun 30, 2022

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.

• Renal Treatment Centers Mid Atlantic Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Goldsboro, NC
  • NPI 1174086698

  Member Of

  NPD member

Locations

Affiliated clinicians 1

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

• Justin Lee Loy

  • Nephrology Physician
  • Thomasville, GA
  • NPI 1619317682

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1831859438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317684573",
            "telephone_number": "229-785-1263",
            "fax_number": "229-785-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNACK DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moultrie Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moultrie Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Stinson, NURSE PRACTITIIONER
• Amanda D Strickland, FNP-C
• Christopher Lee Stroh, OT
• Ebony D Stubbins, FNP
• Mailyn Suarez
• Surgical Associates of South Georgia, P.C.
• Swartzentruber Medical Services LLC
• Gary Wade Swartzentruber, MD
• Tail Winds Residential, LLC
• Amanda Taylor, RN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Moultrie, GA
• Providers in Moultrie, 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 Jul 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.