KIDNEY CARE CENTER GWINNETT LLC – NPI #1487210316
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 CARE CENTER GWINNETT LLC is a provider located in LAWRENCEVILLE, GA. NPPES has assigned the NPI number 1487210316 to KIDNEY CARE CENTER GWINNETT LLC on May 16, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. 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 4 years ago on Sep 15, 2022. 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 CARE CENTER GWINNETT LLC below.

NPI Profile for
KIDNEY CARE CENTER GWINNETT LLC

NPI Number
1487210316
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 CARE CENTER GWINNETT LLC
Primary location
601A PROFESSIONAL DR STE 235
LAWRENCEVILLE, GA 30046-7697
Phone: (470) 292-3957 Fax: (470) 292-3683
2 Other location(s):
3268 Greenbriar Pkwy SW Ste B
Atlanta, GA 30331-2604
Phone: (470) 292-3957
Fax: (470) 292-3683
5329 Memorial Dr Ste A
Stone Mountain, GA 30083-3212
Phone: (470) 292-3957
Fax: (470) 292-3683
Mailing address
PO BOX 3877
JOLIET, IL 60434-3877
Phone: (815) 741-6830 Fax: (815) 941-1806
Organization Subpart
No
Authorized Official
MORUFU ALAUSA
CHIEF MEDICAL DIRECTOR
Phone: (815) 741-6830
Updated
Certification Date
Sep 15, 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)

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.