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Fillmore Dialysis, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Loganville, GA · enumerated 2019 · authorized official Samuel Wey, Vp Licensure & Certification.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659915882

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Registry record

Entity type Organization (Type 2)
Legal business name Fillmore Dialysis, LLC
Other name <Unavail>
Practice address 4555 Atlanta Hwy Ste M, Loganville, GA, 30052
Fax (770) 466-3062
Enumeration date Oct 31, 2019
Last updated in NPPES Dec 23, 2025

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Samuel Wey
Title Vp Licensure & Certification

Other identifiers

Identifier Type State Issuer
003234223A Medicaid GA -

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.

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Frequently asked questions

What is the NPI number for Fillmore Dialysis, LLC?
The NPI for Fillmore Dialysis, LLC is 1659915882, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Fillmore Dialysis, LLC?
NPPES lists Samuel Wey (Vp Licensure & Certification) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-23.