NEPHROLOGY INC NPI 1083803472

NPI Information

  • NPI: 1083803472
  • Provider Name: NEPHROLOGY INC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Doing Business As: KIDNEY CLINIC
  • CLIA Number: 11D1004810
  • Address: 1425 HIGHWAY 34 E
    NEWNAN, GA
    ZIP 30265
  • Phone: (770) 304-3724

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NPI Details

NEPHROLOGY INC is a nephrology internal medicine in Newnan, GA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NEPHROLOGY INC NPI is 1083803472. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kidney Clinic.

The provider's business location address is:

1425 HIGHWAY 34 E
NEWNAN, GA
ZIP 30265-323
Phone: (770) 304-3724
Fax: (770) 304-3726

The provider's authorized official is Rachel Givens .
The authorized official title is Authorized Official and has the following contact phone number (770) 304-3724.

The CLIA number assigned to this NPI record is 11D1004810 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/22/2007 and was last updated on 10/31/2022.

Taxonomy Codes

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology048905GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300044734CMEDICAIDGEORGIA

What is NPI?

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: 3/30/2025

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