CARROLL COUNTY NEPHROLOGY PC – NPI #1558403113
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.

CARROLL COUNTY NEPHROLOGY PC is a provider located in CARROLLTON, GA. NPPES has assigned the NPI number 1558403113 to CARROLL COUNTY NEPHROLOGY PC on February 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is CARROLL COUNTY NEPHROLOGY LLC. 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

The NPI profile was previously updated about 18 years ago on Jan 31, 2008. 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 CARROLL COUNTY NEPHROLOGY PC below.

NPI Profile for
CARROLL COUNTY NEPHROLOGY PC

NPI Number
1558403113
Enumeration Date

(more than 19 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
CARROLL COUNTY NEPHROLOGY PC
Former Legal Business Name: CARROLL COUNTY NEPHROLOGY LLC
Primary location
157 CLINIC AVENUE
SUITE 203
CARROLLTON, GA 30117
Phone: (770) 832-0429 Fax: (770) 838-9108
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SANDY BEASLEY
BILLING & CODING
Phone: (770) 832-0429
Updated
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)
207R00000X
- Internal Medicine

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.