GEORGIA KIDNEY CLINIC LLC – NPI #1962119156
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

GEORGIA KIDNEY CLINIC LLC is a provider located in BUFORD, GA. NPPES has assigned the NPI number 1962119156 to GEORGIA KIDNEY CLINIC LLC on October 28, 2022. 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

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
1962119156
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: (478) 772-3303
Mailing address
2725 HAMILTON MILL RD
STE 500 # 328
BUFORD, GA 30519
Phone: (404) 731-6033 Fax: (478) 772-3303
Organization Subpart
No
Authorized Official
RIYADH AL-RUBAYE
OWNER
Phone: (404) 731-6033
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)

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.