RENAL ASSOCIATES, LLC
NPI 1205944311
Internal Medicine - Nephrology in Columbus, GA

Active since August 28, 2006CLIA 11D2163419 · Waiver
6228 BRADLEY PARK DR, SUITE A, COLUMBUS, GA 31904(706) 322-1486(706) 324-3419 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Renal Associates, Llc NPPES

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

RENAL ASSOCIATES, LLC (NPI 1205944311) is a healthcare organization registered as a nephrology in Columbus, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Beverly Reynolds, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205944311
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameRENAL ASSOCIATES, LLC
Location Address6228 BRADLEY PARK DR, SUITE AColumbus, GA 31904-3603
Mailing Address6228 Bradley Park Dr, Suite AColumbus, GA 31904-3603 · (706) 322-1486 · Fax (706) 324-3419
Fax(706) 324-3419
Organization SubpartNo
Authorized OfficialBeverly ReynoldsOffice Manager · (706) 322-1486
Enumeration DateAugust 28, 2006
Last NPPES UpdateDecember 16, 20222 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
✔ NPI 1205944311 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 · 038662,049226,053587
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.
6228 BRADLEY PARK DR, Columbus, GA 31904

Other Identifiers 2

Medicaid55003365AGA
OtherCI3630GA · Railroad Medicare Group #

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Renal Associates, LLC, which bills Medicare for the services they deliver. Of these, 13 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner8
Nephrology7

Clinicians, nearest first (15)

Nephrology
NPI 1225024557
6228 BRADLEY PARK DR SUITE A
Columbus, GA 31904
(706) 322-1486
✔ PECOSSame address
Nephrology
NPI 1356337679
6228 BRADLEY PARK DR SUITE A
Columbus, GA 31904
(706) 322-1486
✔ PECOSSame address
Nephrology
NPI 1851776207
6228 BRADLEY PARK DR STE A
Columbus, GA 31904
(706) 322-1486
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1104812437
6228 BRADLEY PARK DR SUITE A
Columbus, GA 31904
(706) 322-1486
✔ PECOSSame address
Nurse Practitioner
NPI 1346801701
6228 BRADLEY PARK DR STE A
Columbus, GA 31904
(706) 322-1486
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346931367
6228 BRADLEY PARK DR STE A
Columbus, GA 31904
(706) 322-1486
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1144713959
6228 BRADLEY PARK DR
Columbus, GA 31904
(706) 322-1486
✔ PECOSSame address
Nephrology
NPI 1215140496
6228 BRADLEY PARK DR SUITE A
Columbus, GA 31904
(706) 322-1486
✔ PECOSSame address
Nurse Practitioner
NPI 1750833232
6228 BRADLEY PARK DR. SUITE A
Columbus, GA 31904
(706) 617-4031
✔ PECOSSame address
Nurse Practitioner
NPI 1285574962
6228 BRADLEY PARK DR STE A
Columbus, GA 31904
(706) 322-1486
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144812371
6228 BRADLEY PARK DR STE A
Columbus, GA 31904
(706) 322-1486
✔ PECOSSame address
Nurse Practitioner
NPI 1144827957
6228 BRADLEY PARK DR STE A
Columbus, GA 31904
(706) 322-1486
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144982430
6228 BRADLEY PARK DR STE A
Columbus, GA 31904
(706) 322-1486
✔ PECOSSame address
Nephrology
NPI 1356571079
1300 LAFAYETTE PARKWAY STE D
Lagrange, GA 30241
(706) 882-2800
✔ PECOS35 mi
Nurse Practitioner
NPI 1033712716
2000 PALMYRA RD FL 3
Albany, GA 31701
(229) 789-6120
✔ PECOS✔ Accepts Medicare79 mi

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

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 11D2163419

Renal Associates Of Albany, LLC · Albany, GA
Active · expires Mar 13, 2027
CLIA Number11D2163419
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorAlcaide Q. Ferdinand
Laboratory Phone(706) 322-1486
Laboratory LocationRenal Associates Of Albany, LLC110 Logan Court, Albany, GA 31707
CLIA data matches this NPI record on: Name Phone
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 Renal Associates, LLC's NPI number?

The NPI number for Renal Associates, LLC is 1205944311. It was assigned to this organization in the NPPES registry on August 28, 2006.

Where is Renal Associates, LLC located?

Renal Associates, LLC is located at 6228 Bradley Park Dr Suite A, Columbus, GA 31904. The listed phone number is (706) 322-1486.

What is Renal Associates, LLC's specialty?

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

Is Renal Associates, LLC enrolled in Medicare?

Yes. Renal Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renal Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Renal Associates, 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 (8) and Nephrology (7). Of these, 13 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Renal Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2163419) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Renal Associates, LLC was last updated on December 16, 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.