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GEORGIA KIDNEY CARE
NPI 1114768132
Clinic/Center in Greensboro, GA

Active since June 04, 2024
1000 COWLES CLINIC WAY STE CY-300, GREENSBORO, GA 30642(706) 410-2111 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Georgia Kidney Care NPPES

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

GEORGIA KIDNEY CARE (NPI 1114768132) is a healthcare organization registered as a clinic/center in Greensboro, Georgia and active in the NPI registry since June 2024. The organization lists Courtney Cantrell, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1114768132
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGEORGIA KIDNEY CARE
Location Address1000 COWLES CLINIC WAY STE CY-300Greensboro, GA 30642-5285
Mailing Address1000 Cowles Clinic Way Ste Cy-300Greensboro, GA 30642-5285 · (706) 410-2111
Phone(706) 410-2111
Organization SubpartNo
Authorized OfficialCourtney CantrellCredentialing · (423) 413-3832
Enumeration DateJune 4, 2024
NPPES CertifiedJune 4, 2024
✔ NPI 1114768132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1000 COWLES CLINIC WAY STE CY-300, Greensboro, GA 30642
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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 11D2308465

Georgia Kidney Care · Greensboro, GA
Expired · Jul 29, 2026
CLIA Number11D2308465
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorJuan Pimentel
Laboratory Phone(706) 410-2111
Laboratory LocationGeorgia Kidney Care1000 Cowles Clinic Way Cypress Cottage, Suite Cy-300, Greensboro, GA 30642
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JUAN LUIS PIMENTEL JR. M.D.
Internal Medicine (Nephrology)
1000 COWLES CLINIC WAY STE CY-300
GREENSBORO, GA 30642
Greene County (706) 410-2111
DR. ARUN KUMAR M.D
Internal Medicine (Nephrology)
1000 COWLES CLINIC WAY STE CY-300
GREENSBORO, GA 30642
Greene County (706) 410-2111

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 Kidney Care's NPI number?

The NPI number for Georgia Kidney Care is 1114768132. It was assigned to this organization in the NPPES registry on June 4, 2024.

Where is Georgia Kidney Care located?

Georgia Kidney Care is located at 1000 Cowles Clinic Way Ste Cy-300, Greensboro, GA 30642. The listed phone number is (706) 410-2111.

What is Georgia Kidney Care's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Georgia Kidney Care was last updated on June 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.