MEDICARE: GRAHAMS DIALYSIS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457957870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAHAMS DIALYSIS, LLC

Provider Business Mailing Address
First Line	:	5200 VIRGINIA WAY
Second Line	:	ATT: L&C DEPT
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7569
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6914 SHELDON RD
Second Line	:	SUITE 102
City	:	TAMPA
State	:	FL
Zip	:	33615-2701
Country	:	US
Telephone Number	:	863-663-3071
Fax Number	:	863-663-3093

Authorized Official
Title or Position	:	VP LICENSURE & CERTIFICATION
Name	:	SAMUEL T WEY
Credential	:
Telephone Number	:	615-341-6641

Provider Enumeration Date	:	12/10/2020
Last Update Date	:	02/03/2026

Similar Medicare Providers

1962818807 — CHRISTIAN G BOLANOS SALAZAR M.D
Practice Location Address:

6914 SHELDON RD STE 101
TAMPA, FL
33615-2701

Practice Phone: 813-910-0030
Practice Fax: 813-971-6473

1205801529 — MS. PAMELA CAROLE BARANY CNM
Practice Location Address:

2701 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
33607-6303

Practice Phone: 813-684-2229
Practice Fax: 813-816-0326

1750339032 — DR. DANIEL T GRIFFITH M.D.
Practice Location Address:

2701 W BUSCH BLVD STE 144
TAMPA, FL
33618-4578

Practice Phone: 813-452-5000
Practice Fax: 813-710-5001

1831136233 — NATASHA LEONTINE FLEMENS MD
Practice Location Address:

2701 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
33607-6303

Practice Phone: 136-842-2298
Practice Fax: 813-813-0326

1972545408 — ROBERT SCOTT FURR MD
Practice Location Address:

2701 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
33607-6303

Practice Phone: 813-738-6690
Practice Fax: 813-816-0326

1811913866 — PHILIP NATHANIEL JOHNSON M.D.
Practice Location Address:

2701 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
33607-6303

Practice Phone: 813-738-6690
Practice Fax: 813-816-0326

Directions to “GRAHAMS DIALYSIS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.