NORTHWEST NEPHROLOGY CLINIC
NPI 1215052261
Specialist in Decatur, GA

Active since March 20, 2007
5255 SNAPFINGER PARK DR, SUITE 110, DECATUR, GA 30035(770) 981-2211 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northwest Nephrology Clinic NPPES

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

NORTHWEST NEPHROLOGY CLINIC (NPI 1215052261) is a healthcare organization registered as a specialist in Decatur, Georgia and active in the NPI registry since March 2007. The organization lists Andrew A Dixon, Physician, as its authorized official.

NPPES Registry Identity

NPI1215052261
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHWEST NEPHROLOGY CLINIC
Location Address5255 SNAPFINGER PARK DR, SUITE 110Decatur, GA 30035-4084
Mailing Address5255 Snapfinger Park Dr, Suite 110Decatur, GA 30035-4084 · (770) 981-2211
Organization SubpartNo
Authorized OfficialAndrew A DixonPhysician · (770) 981-2211
Enumeration DateMarch 20, 2007
Last NPPES UpdateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
NPI 1215052261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 028761
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5255 SNAPFINGER PARK DR, Decatur, GA 30035

Other Identifiers 5

Medicaid000702281GGA
Medicaid103863411BGA
Medicaid300030041BGA
Medicaid103863411AGA
Medicaid000441306EGA

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

CLIA Laboratory Certificates CMS CLIA 2

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 11D0948966

Northwest Nephrology Clinic Inc · Decatur, GA
Expired · Jul 20, 2026
CLIA Number11D0948966
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2024
Certificate Expiration DateJuly 20, 2026
Laboratory DirectorAndrew A. Dixon
Laboratory Phone(770) 981-2211
Laboratory LocationNorthwest Nephrology Clinic Inc5255 Snapfinger Park Dr Ste 110, Decatur, GA 30035
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1017535

Northwest Nephrology Clinic · Decatur, GA
Expired · Jul 20, 2026
CLIA Number11D1017535
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2024
Certificate Expiration DateJuly 20, 2026
Laboratory DirectorJuan L. Pimentel
Laboratory Phone(770) 981-2211
Laboratory LocationNorthwest Nephrology Clinic2711 Irvin Way Suite 203, Decatur, GA 30030
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 11

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5255 SNAPFINGER PARK DR, SUITE 110
DECATUR, GA 30035
Internal Medicine (Cardiovascular Disease)
5255 SNAPFINGER PARK DR, SUITE 130
DECATUR, GA 30035
Physical Therapy Assistant
5255 SNAPFINGER PARK DR, SUITE 130
DECATUR, GA 30035
Physical Therapist
5255 SNAPFINGER PARK DR
DECATUR, GA 30035
Internal Medicine (Nephrology)
5255 SNAPFINGER PARK DR, SUITE 110
DECATUR, GA 30035
Occupational Therapist
5255 SNAPFINGER PARK DR, SUITE 130
DECATUR, GA 30035
Internal Medicine (Nephrology)
5255 SNAPFINGER PARK DR, STE 110
DECATUR, GA 30035
Physical Therapist
5255 SNAPFINGER PARK DR
DECATUR, GA 30035

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 Northwest Nephrology Clinic's NPI number?

The NPI number for Northwest Nephrology Clinic is 1215052261. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Northwest Nephrology Clinic located?

Northwest Nephrology Clinic is located at 5255 Snapfinger Park Dr Suite 110, Decatur, GA 30035. The listed phone number is (770) 981-2211.

What is Northwest Nephrology Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Northwest Nephrology Clinic accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Northwest Nephrology Clinic 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 Northwest Nephrology Clinic was last updated on March 8, 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.