KIDNEY CLINIC
NPI 1083803472
Internal Medicine - Nephrology in Newnan, GA

Q: What is Nephrology Inc's NPI number?

The NPI number for Nephrology Inc is 1083803472. It was assigned to this organization in the NPPES registry on October 22, 2007. The provider is doing business as Kidney Clinic.

Q: What is Nephrology Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nephrology Inc was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 22, 2007CLIA 11D1004810 · Microscopy

1425 HIGHWAY 34 E, NEWNAN, GA 30265(770) 304-3724(770) 304-3726 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2022, Mar 18, 2019, Apr 17, 2018 and 2 more (5 updates tracked since 2017).

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About Kidney Clinic NPPES

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

KIDNEY CLINIC (NPI 1083803472) is a healthcare organization registered as a nephrology in Newnan, Georgia and active in the NPI registry since October 2007. The organization holds a CLIA Microscopy certificate valid through October 6, 2026, maintains a secondary practice location in Peachtree City, and lists Rachel Givens, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1083803472

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameNEPHROLOGY INC

Location Address1425 HIGHWAY 34 ENewnan, GA 30265-1323

Mailing Address1425 Highway 34 ENewnan, GA 30265-1323 · (770) 304-3724 · Fax (770) 304-3726

Phone(770) 304-3724

Fax(770) 304-3726

Organization SubpartNo

Authorized OfficialRachel GivensAuthorized Official · (770) 304-3724

Enumeration DateOctober 22, 2007

Last NPPES UpdateOctober 31, 20225 updates tracked since enumeration

NPPES CertifiedOctober 31, 2022

✔ NPI 1083803472 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 · 048905

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.

1425 HIGHWAY 34 E, Newnan, GA 30265

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Other Names 1

Doing Business AsKidney Clinic

Secondary Practice Location 1

Location 1130 Governors Sq Ste CPeachtree City, GA 30269-4862 · Phone (770) 376-6256

Other Identifiers 1

Medicaid300044734CGA

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 ›

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 for Provider-Performed Microscopy Procedures (PPMP) 11D1004810

Kidney Clinic · Newnan, GA

Active · expires Oct 6, 2026

CLIA Number11D1004810

Laboratory TypePhysician Office

Certificate Effective DateOctober 7, 2024

Certificate Expiration DateOctober 6, 2026

Laboratory DirectorJoellen Jones

Laboratory Phone(770) 251-7896

Laboratory LocationKidney Clinic1425 Highway 34 East, Newnan, GA 30265

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.

Other Providers at the Same Location NPPES 8

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

DR. ASHISH DHUNGEL M.D

Internal Medicine (Nephrology)