Organization · Type 2 NPI

Menca Dialysis, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Atlanta, GA

NPI number 1013562818 Active

Practice location

3030 Headland Dr SW Ste C
Atlanta, GA 30311-5435

Call (404) 349-6790 Map

Fax (404) 349-8095

Mailing address

5200 Virginia Way, Att: L&c Department
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1013562818
Entity type: Organization (Type 2)
Issued: Aug 8, 2019
Last updated: Jan 15, 2026
Status: Active

Other names

<unavail>
Camp Creek Dialysis · doing business as
Camp Creek Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1013562818

Menca Dialysis, LLC's National Provider Identifier is 1013562818, issued on Aug 8, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Atlanta, GA. The record was last updated on Jan 15, 2026.