THE KIDNEY CLINIC – NPI #1811159718
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
THE KIDNEY CLINIC is an AHC clinic located in SNELLVILLE, GA. NPPES has assigned the NPI number 1811159718 to THE KIDNEY CLINIC on July 01, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty
The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE KIDNEY CLINIC below.
NPI Profile for
THE KIDNEY CLINIC
(about 18 years ago)
SNELLVILLE, GA 30078-6107 Phone: (678) 344-0334 Fax: (678) 344-0343
4 Other location(s):
Conyers, GA 30012-3857
Phone: (678) 344-0334
Fax: (678) 344-0343
Covington, GA 30014-3651
Phone: (678) 344-0334
Fax: (678) 344-0343
Lawrenceville, GA 30044-5491
Phone: (678) 344-0334
Fax: (678) 344-0343
Lilburn, GA 30047-3800
Phone: (678) 344-0334
Fax: (678) 344-0343
SUITE C-105
SNELLVILLE, GA 30078-6134 Phone: (678) 344-0334 Fax: (678) 344-0343
PHYSICIAN
Phone: (678) 344-0334
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for THE KIDNEY CLINIC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | NPI FOR MAZEN ABDALLA,MD | GA | 1467420893 |
| medicaid | GA | 00612752A |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM2500X - Clinic/Center / Medical Specialty (Primary) |
GA | 038414 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.