Buford Dialysis LLC

Primary specialty

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

License

ESRD001256 Issued in GA

Legal business name

BUFORD DIALYSIS LLC

Practice address

1550 Buford Hwy Ste 1E
Buford, GA 30518-3666

Phone

(770) 831-2379

Fax

(770) 831-6983

NPI assigned

May 20, 2006

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

• Buford Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Member of 2

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

• Nephrology Medical Associates of Georgia LLC

  • Nephrology Physician
  • Thomasville, GA
  • NPI 1740706951

  Member Of

  NPD member
• Renal Treatment Centers Mid Atlantic Inc

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

  Member Of

  NPD member

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

• Prashant Amin, M.D.

  • Nephrology Physician
  • Gainesville, GA
  • NPI 1740421783

  Dialysis facility

  Care Compare affiliation Name & address match
• Ernest C Han, MD

  • Nephrology Physician
  • Gainesville, GA
  • NPI 1942357744

  Dialysis facility

  Care Compare affiliation Name & address match
• Jayanti Jasti, M.D.,

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1487619045

  Dialysis facility

  Care Compare affiliation Name & address match

Listed as

DaVita Buford DialysisCCN 112760

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Dec 22, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

21

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1922052174",
    "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": "1550 BUFORD HWY STE 1E",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183666",
            "telephone_number": "770-831-2379",
            "fax_number": "770-831-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFORD DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "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": "ESRD001256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "645782797A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buford Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buford Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courteney Kristine Buchanan, NP
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• Buford Family Practice and Urgent Care Center, P.C
• Buford Family Practice and Urgent Care Center, PC

• All providers in Buford, GA
• 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 Apr 22, 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.