1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Internal Medicine
  6. NPI Profile

NORTH GEORGIA KIDNEY SPECIALISTS, LLC
NPI 1053416925
Internal Medicine - Nephrology in Marietta, GA

Active since September 14, 2006CLIA 11D0921008 · Waiver
880 CANTON RD NE, SUITE 400, MARIETTA, GA 30060(770) 528-9788(770) 420-2229 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Georgia Kidney Specialists, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH GEORGIA KIDNEY SPECIALISTS, LLC (NPI 1053416925) is a healthcare organization registered as a nephrology in Marietta, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 16, 2026 and lists Manolo S Gallego, President/physician, as its authorized official.

NPPES Registry Identity

NPI1053416925
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTH GEORGIA KIDNEY SPECIALISTS, LLC
Location Address880 CANTON RD NE, SUITE 400Marietta, GA 30060-7283
Mailing Address880 Canton Rd Ne, Suite 400Marietta, GA 30060-7283 · (770) 528-9788 · Fax (770) 420-2229
Phone(770) 528-9788
Fax(770) 420-2229
Organization SubpartNo
Authorized OfficialManolo S GallegoPresident/physician · (770) 528-9788
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 15, 2013
✔ NPI 1053416925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 036745
Definition
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.
880 CANTON RD NE, Marietta, GA 30060
Open in Google Maps ↗

Other Identifiers 17

Medicare UPINI67498GA
Medicaid233167541AGA
Medicaid282117409AGA
Medicaid555189352AGA
Medicaid000960726FGA
Medicare PIN5511I130044GA
Medicare PIN202I393080GA
Other1285688283GA · Muhammad Yasser Jabri, M.d. Individual Npi #
Medicare UPINH39848GA
Medicaid00691182ABGA
Other1275520793GA · Gallego Individual Npi
Medicare UPING11649GA
Medicare UPINI51195GA
Medicare PIN11SCFCSGA
Medicare PINGRP7186GA
OtherDD6106GA · Medicare Railroad Group #
Medicare UPINI51262GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0921008

North Georgia Kidney Specialists · Marietta, GA
Active · expires Oct 16, 2026
CLIA Number11D0921008
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorManolo Gallego
Laboratory Phone(770) 928-8991
Laboratory LocationNorth Georgia Kidney Specialists880 Canton Road, Suite 400, Marietta, GA 30060
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM EDWARD SNELL D.O.
Family Medicine
880 CANTON RD NE, SUITE 300
MARIETTA, GA 30060
Cobb County (770) 590-0585
DR. MANOLO GALLEGO M.D.
Internal Medicine (Nephrology)
880 CANTON RD NE, SUITE 400
MARIETTA, GA 30060
Cobb County (770) 528-9788
DR. SALVATORE CHILLEMI MD
Internal Medicine (Nephrology)
880 CANTON RD NE, SUITE 400
MARIETTA, GA 30060
Cobb County (770) 528-9788
TERRY TRUNDLE ATC, LAT
Specialist/Technologist (Athletic Trainer)
880 CANTON RD NE
MARIETTA, GA 30060
Cobb County (770) 792-7522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Georgia Kidney Specialists, LLC's NPI number?

The NPI number for North Georgia Kidney Specialists, LLC is 1053416925. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is North Georgia Kidney Specialists, LLC located?

North Georgia Kidney Specialists, LLC is located at 880 Canton Rd NE Suite 400, Marietta, GA 30060. The listed phone number is (770) 528-9788.

What is North Georgia Kidney Specialists, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does North Georgia Kidney Specialists, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0921008) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Georgia Kidney Specialists, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list North Georgia Kidney Specialists, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Georgia Kidney Specialists, LLC was last updated on July 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.