KIDNEYCLINIC OF ATHENS
NPI 1174742621
Clinic/Center - Health Service in Athens, GA

Active since April 24, 2007
385 HAWTHORNE LN STE 200, ATHENS, GA 30606(706) 543-3130 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kidneyclinic Of Athens NPPES

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

KIDNEYCLINIC OF ATHENS (NPI 1174742621) is a healthcare organization registered as a health service in Athens, Georgia and active in the NPI registry since April 2007. The organization lists Emad Uddin Ahmed, President, as its authorized official.

NPPES Registry Identity

NPI1174742621
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameKIDNEYCLINIC OF ATHENS
Location Address385 HAWTHORNE LN STE 200Athens, GA 30606-2100
Mailing Address385 Hawthorne Ln Ste 200Athens, GA 30606-2100 · (706) 543-3130
Organization SubpartNo
Authorized OfficialEmad Uddin AhmedPresident · (706) 543-3130
Enumeration DateApril 24, 2007
Last NPPES UpdateSeptember 6, 2023
✔ NPI 1174742621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in GA · 045157
385 HAWTHORNE LN STE 200, Athens, GA 30606

Other Identifiers 1

OtherGRP4937GA · Medicare,group

Accepted 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)

Kidneyclinic Of Athens is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kidneyclinic Of Athens, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nephrology
NPI 1467460709
385 HAWTHORNE LN STE 200
Athens, GA 30606
(706) 543-3130
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1144394883
385 HAWTHORNE LN #A
Athens, GA 30606
(706) 543-3130
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1114230430
385 HAWTHORNE LN STE 200
Athens, GA 30606
(706) 543-3130
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1225068034
743 SPRING ST NE
Gainesville, GA 30501
(770) 219-2627
✔ PECOS✔ Accepts Medicare33 mi

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

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 Kidneyclinic Of Athens's NPI number?

The NPI number for Kidneyclinic Of Athens is 1174742621. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Kidneyclinic Of Athens located?

Kidneyclinic Of Athens is located at 385 Hawthorne Ln Ste 200, Athens, GA 30606. The listed phone number is (706) 543-3130.

What is Kidneyclinic Of Athens's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Kidneyclinic Of Athens enrolled in Medicare?

Yes. Kidneyclinic Of Athens is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidneyclinic Of Athens?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Kidneyclinic Of Athens. 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 Nephrology (3) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kidneyclinic Of Athens 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 Kidneyclinic Of Athens 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 Kidneyclinic Of Athens was last updated on September 6, 2023. 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.