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GEORGIA NEPHROLOGY, LLC
NPI 1063422723
Internal Medicine - Nephrology in Decatur, GA

Active since August 08, 2006CLIA Certified · 5 labs
497 WINN WAY STE A210, DECATUR, GA 30030(404) 294-7033(404) 296-4661 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Georgia Nephrology, Llc NPPES

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

GEORGIA NEPHROLOGY, LLC (NPI 1063422723), doing business as Atlanta Nephrology, Llc, is a healthcare organization registered as a nephrology in Decatur, Georgia and active in the NPI registry since August 2006. The organization holds 5 active CLIA laboratory certificates, maintains a secondary practice location in Lawrenceville, and lists Karen Muro, Physician/provider, as its authorized official.

NPPES Registry Identity

NPI1063422723
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGEORGIA NEPHROLOGY, LLC
Location Address497 WINN WAY STE A210Decatur, GA 30030
Mailing Address497 Winn Way, Suite A-210Decatur, GA 30030-1712 · (404) 294-7033 · Fax (404) 296-4661
Phone(404) 294-7033
Fax(404) 296-4661
Organization SubpartNo
Authorized OfficialKaren MuroPhysician/provider · (404) 645-7150
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 25, 2018
✔ NPI 1063422723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
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.
497 WINN WAY STE A210, Decatur, GA 30030
Open in Google Maps ↗

Other Names 1

Former Legal Business NameAtlanta Nephrology, Llc

Secondary Practice Location 1

Location 1595 Hurricane Shoals Rd NW Ste 100Lawrenceville, GA 30046-8762 · Phone (404) 645-7150

Other Identifiers 1

Medicaid300027211AGA

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Nephrology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to Georgia Nephrology, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner15
Nephrology14
Internal Medicine6

Nearest to this location (20)

See all 35
Talita Chacko
Nurse Practitioner
NPI 1649011487
497 WINN WAY
Decatur, GA 30030
(404) 645-7150
✔ PECOS✔ Accepts MedicareSame address
Yvane Wimberly, R.N.-N.P.
Nurse Practitioner
NPI 1730258096
497 WINN WAY STE A210
Decatur, GA 30030
(404) 294-7033
✔ PECOS✔ Accepts Medicare0.1 mi
Marshet Tenaw
Nurse Practitioner
NPI 1366158669
4958 MEMORIAL DR
Stone Mountain, GA 30083
(404) 809-2480
✔ PECOS2.8 mi
Olushola Cole
Nurse Practitioner
NPI 1225660962
4535 WINTERS CHAPEL RD STE B
Atlanta, GA 30360
(770) 285-7246
✔ PECOS✔ Accepts Medicare9.5 mi
Marie Jones, DNP
Nurse Practitioner
NPI 1821866849
3855 GOLFE LINKS DR
Snellville, GA 30039
(404) 849-1965
✔ PECOS15 mi
Juliana Betancur Gomez, NP
Nurse Practitioner
NPI 1083300461
11040 CRABAPPLE RD STE A
Roswell, GA 30075
(866) 377-5872
✔ PECOS18 mi
Shailaja Chidella, M.D
Internal Medicine
NPI 1376786871
595 HURRICANE SHOALS RD NW STE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Jusong Choi, MD
Nephrology
NPI 1811403124
595 HURRICANE SHOALS RD NW
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Shaun Conlon, M.D.
Nephrology
NPI 1760667034
595 HURRICANE SHOALS RD NW STE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Imran Dosani, MD
Nephrology
NPI 1215142401
595 HURRICANE SHOALS RD NW STE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Kathryn Elmore, M.D.
Nephrology
NPI 1245325547
595 HURRICANE SHOALS RD NW STE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Hesun Han, M.D.
Internal Medicine
NPI 1609804020
595 HURRICANE SHOALS RD NW SUITE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Angus Howard, M.D.
Internal Medicine
NPI 1003858051
595 HURRICANE SHOALS RD NW STE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Jayanti Jasti, M.D.,
Nephrology
NPI 1487619045
595 HURRICANE SHOALS RD NW SUITE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Biren Joshi, M.D.
Nephrology
NPI 1063440451
595 HURRICANE SHOALS RD NW STE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Meena Kavil, M.D.
Internal Medicine
NPI 1295721124
595 HURRICANE SHOALS RD NW STE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Min Ju Kim, APRN
Nurse Practitioner
NPI 1992073761
595 HURRICANE SHOALS RD NW STE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Evumena Mukoro, FNP
Nurse Practitioner
NPI 1356050462
595 HURRICANE SHOALS RD NW
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
Patsy Doris, AGNP
Nurse Practitioner
NPI 1710878145
595 HURRICANE SHOALS RD NW STE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS20 mi
Aakash Amin, M.D.
Internal Medicine
NPI 1871668343
595 HURRICANE SHOALS RD NW STE 100
Lawrenceville, GA 30046
(404) 645-7150
✔ PECOS✔ Accepts Medicare20 mi
See all 35 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 5

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 for Provider-Performed Microscopy Procedures (PPMP) 11D2105577

Georgia Nephrology, LLC · Lawrenceville, GA
Active · expires Nov 30, 2027
CLIA Number11D2105577
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorWilliam G. Paxton
Laboratory Phone(404) 645-7150
Laboratory LocationGeorgia Nephrology, LLC595 Hurricane Shoals Rd, NW Suite 100, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0692406

Georgia Nephrology · Decatur, GA
Active · expires Jul 27, 2027
CLIA Number11D0692406
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorKaren Muro
Laboratory Phone(404) 645-7100
Laboratory LocationGeorgia Nephrology497 Winn Way Suite A-210, Decatur, GA 30030
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2105579

Georgia Nephrology, LLC · Snellville, GA
Active · expires Nov 30, 2027
CLIA Number11D2105579
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorWilliam G. Paxton
Laboratory Phone(404) 645-7150
Laboratory LocationGeorgia Nephrology, LLC2096 Mcgee Road, Snellville, GA 30078
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2159237

Georgia Nephrology · Lithonia, GA
Active · expires Dec 13, 2026
CLIA Number11D2159237
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorAngus C. Howard
Laboratory Phone(404) 645-7150
Laboratory LocationGeorgia Nephrology6000 Hillandale Drive, Suite 135, Lithonia, GA 30058
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 11D2322829

Georgia Nephrology LLC · Lawrenceville, GA
Active · expires Apr 27, 2027
CLIA Number11D2322829
Laboratory TypeResearch Clin Nephrology
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorJames A. Tumlin
Laboratory Phone(423) 943-4265
Laboratory LocationGeorgia Nephrology LLC575 Professional Drive #250, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Georgia Nephrology, LLC's NPI number?

The NPI number for Georgia Nephrology, LLC is 1063422723. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider was formerly known as Atlanta Nephrology, LLC.

Where is Georgia Nephrology, LLC located?

Georgia Nephrology, LLC is located at 497 Winn Way Ste A210, Decatur, GA 30030. The listed phone number is (404) 294-7033.

What is Georgia Nephrology, LLC's specialty?

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

Is Georgia Nephrology, LLC enrolled in Medicare?

Yes. Georgia Nephrology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Nephrology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 3 Medicare specialties reassign their Medicare billing to Georgia Nephrology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Nephrology (14) and Internal Medicine (6). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Georgia Nephrology, LLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Georgia Nephrology, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Georgia Nephrology, 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 Georgia Nephrology, LLC was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.