Isd Canton LLC
Isd Canton LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Canton, GA, holding Type 2 (organization) NPI 1366480832 since 2006. The authorized official on file is Samuel Wey, Vp Licensure & Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366480832 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Isd Canton LLC |
| Other name | <Unavail> |
| Practice address | 260 HOSPITAL RD, Canton, GA, 30114 |
| Phone | 6788803939 |
| Fax | 7704799466 |
| Enumeration date | 2006-06-04 |
| Last updated in NPPES | 2024-08-09 |
Authorized official
| Name | Samuel Wey |
|---|---|
| Title | Vp Licensure & Certification |
| Phone | 6153416641 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | ESRD001260 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377703973A | Medicaid | GA | — |
Copy-ready billing details
Provider: Isd Canton LLC NPI: 1366480832 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 260 HOSPITAL RD, Canton, GA, 30114
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154514024 | Elaine Simms | Individual | Clinical Social Worker | Canton, GA |
| 1134637747 | Isd Renal Inc | Organization | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Canton, GA |
Verify this record
Cross-check NPI 1366480832 against the authoritative CMS record: view Isd Canton LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Isd Canton LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2024-08-09.