KIDNEY SPECIALISTS OF GEORGIA PC – NPI #1063070654
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

KIDNEY SPECIALISTS OF GEORGIA PC is a provider located in LAWRENCEVILLE, GA. NPPES has assigned the NPI number 1063070654 to KIDNEY SPECIALISTS OF GEORGIA PC on May 30, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 6 years ago on Jan 17, 2020. 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 KIDNEY SPECIALISTS OF GEORGIA PC below.

NPI Profile for
KIDNEY SPECIALISTS OF GEORGIA PC

NPI Number
1063070654
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KIDNEY SPECIALISTS OF GEORGIA PC
Primary location
575 PROFESSIONAL DR STE 290
LAWRENCEVILLE, GA 30046-3347
Phone: (770) 417-8170 Fax: (770) 417-8169
Mailing address
PO BOX 3877
JOLIET, IL 60434-3877
Phone: (815) 714-7155 Fax:
Organization Subpart
No
Authorized Official
NNAMDI NWAOHIRI
MEDICAL DIRECTOR
Phone: (443) 616-4122
Updated
Certification Date
Jan 17, 2020

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.

Taxonomy Code(s)

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
207RN0300X
- Internal Medicine / Nephrology (Primary)

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.