NORTHWEST NEPHROLOGY CLINIC
NPI 1215052261
Specialist in Decatur, GA
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 holds 2 active CLIA laboratory certificates and lists Andrew A Dixon, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
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)
Northwest Nephrology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Northwest Nephrology Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Decatur, GA 30035
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 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, GACertificate of Waiver 11D1017535
Northwest Nephrology Clinic · Decatur, GAFrequently 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.
Is Northwest Nephrology Clinic enrolled in Medicare?
Yes. Northwest Nephrology Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northwest Nephrology Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Northwest Nephrology Clinic, in Internal Medicine and Neurology. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northwest Nephrology Clinic hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
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.
# Northwest Nephrology Clinic · NPI 1215052261
Specialist organization in Decatur, Georgia. Organization record, active in the CMS NPPES registry since March 20, 2007.
## Identity
- **NPI:** 1215052261 (Entity type: Organization)
- **Enumerated:** March 20, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Andrew Dixon, PHYSICIAN
## Practice location
- **Address:** 5255 SNAPFINGER PARK DR, SUITE 110, Decatur, GA 30035-4084
- **Phone:** (770) 981-2211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Neurology (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2023
- **Other identifiers:** Medicaid 000702281G (GA); Medicaid 103863411B (GA); Medicaid 300030041B (GA); and 2 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215052261) · Data from the CMS NPPES public registry.