GEORGIA KIDNEY CLINIC LLC – NPI #1417664616
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.

GEORGIA KIDNEY CLINIC LLC is a provider located in BUFORD, GA. NPPES has assigned the NPI number 1417664616 to GEORGIA KIDNEY CLINIC LLC on October 28, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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

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 GEORGIA KIDNEY CLINIC LLC below.

NPI Profile for
GEORGIA KIDNEY CLINIC LLC

NPI Number
1417664616
Enumeration Date

(more than 3 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
GEORGIA KIDNEY CLINIC LLC
Primary location
3382 GRACE FARM LN
BUFORD, GA 30519
Phone: (404) 731-6033 Fax:
Mailing address
2725 HAMILTON MILL RD STE 500
BUFORD, GA 30519-6010
Phone: (404) 731-6033 Fax:
Organization Subpart
No
Authorized Official
RIYADH AL-RUBAYE
OWNER
Phone: 0473160334
Updated
Certification Date
Oct 24, 2022

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)
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment

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.