ADVANCED KIDNEY SPECIALISTS, P.C.
NPI 1275602765
Specialist in Jackson, TN

Active since November 07, 2006
170 MURRAY GUARD DR, JACKSON, TN 38305(731) 984-8390(731) 984-8392 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Kidney Specialists, P.c. NPPES

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

ADVANCED KIDNEY SPECIALISTS, P.C. (NPI 1275602765) is a healthcare organization registered as a specialist in Jackson, Tennessee and active in the NPI registry since November 2006. The organization lists Shyamal Sarkar, President, as its authorized official.

NPPES Registry Identity

NPI1275602765
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED KIDNEY SPECIALISTS, P.C.
Location Address170 MURRAY GUARD DRJackson, TN 38305-3609
Mailing Address170 Murray Guard DrJackson, TN 38305-3609 · (731) 984-8390 · Fax (731) 984-8392
Fax(731) 984-8392
Organization SubpartNo
Authorized OfficialShyamal SarkarPresident · (731) 984-8390
Enumeration DateNovember 7, 2006
Last NPPES UpdateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
✔ NPI 1275602765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · 29600
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.
170 MURRAY GUARD DR, Jackson, TN 38305

Other Identifiers 1

Medicaid3714241TN

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)

Advanced Kidney Specialists, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Kidney Specialists, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1841260767
170 MURRAY GUARD DR
Jackson, TN 38305
(731) 984-8390
✔ PECOS✔ Accepts MedicareSame address

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 Advanced Kidney Specialists, P.C.'s NPI number?

The NPI number for Advanced Kidney Specialists, P.C. is 1275602765. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Advanced Kidney Specialists, P.C. located?

Advanced Kidney Specialists, P.C. is located at 170 Murray Guard Dr, Jackson, TN 38305. The listed phone number is (731) 984-8390.

What is Advanced Kidney Specialists, P.C.'s specialty?

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

Is Advanced Kidney Specialists, P.C. enrolled in Medicare?

Yes. Advanced Kidney Specialists, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Kidney Specialists, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Advanced Kidney Specialists, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Kidney Specialists, P.C. was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.