MEDLOCK BRIDGE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Jasper, GA. MEDLOCK BRIDGE DIALYSIS LLC NPI is 1245869619. The provider is registered as an organization entity type. The provider .
The provider's business location address is:
700 N MAIN ST JASPER, GA ZIP 30143-404 Phone: (678) 387-1274 Fax: (678) 387-1292
The provider's authorized official is Samuel T Wey . The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 11D2188461 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/7/2020 and was last updated on 12/29/2025.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.
