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CARROLL COUNTY NEPHROLOGY LLC
NPI 1285814988
Internal Medicine - Nephrology in Carrollton, GA

Active since November 09, 2007CLIA Certified · 3 labs
157 CLINIC AVE, SUITE 203, CARROLLTON, GA 30117(770) 832-0429(770) 838-9108 Get Directions Write a Review

NPPES record last updated: February 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carroll County Nephrology Llc NPPES

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

CARROLL COUNTY NEPHROLOGY LLC (NPI 1285814988) is a healthcare organization registered as a nephrology in Carrollton, Georgia and active in the NPI registry since November 2007. The organization holds 3 active CLIA laboratory certificates and lists Maria J Orig, Owner, as its authorized official.

NPPES Registry Identity

NPI1285814988
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCARROLL COUNTY NEPHROLOGY LLC
Location Address157 CLINIC AVE, SUITE 203Carrollton, GA 30117-4454
Mailing Address157 Clinic Ave, Suite 203Carrollton, GA 30117-4454 · (770) 832-0429 · Fax (770) 838-9108
Phone(770) 832-0429
Fax(770) 838-9108
Organization SubpartNo
Authorized OfficialMaria J OrigOwner · (770) 832-0429
Enumeration DateNovember 9, 2007
Last NPPES UpdateFebruary 1, 2008
✔ NPI 1285814988 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 · 044561
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.

157 CLINIC AVE, Carrollton, GA 30117
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Other Names 1

Doing Business AsCarroll County Nephrology Llc

Other Identifiers 1

Medicare PINGRP4773

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

CLIA Laboratory Certificates CMS CLIA 3

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 11D1093956

Carroll County Nephrology PC · Bremen, GA
Active · expires Jan 6, 2027
CLIA Number11D1093956
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorBryan Quinn
Laboratory Phone(770) 832-0429
Laboratory LocationCarroll County Nephrology PC108 Redding Drive, Bremen, GA 30110
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1093957

Carroll County Nephrology PC · Villa Rica, GA
Active · expires Jan 6, 2027
CLIA Number11D1093957
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorBryan Quinn
Laboratory Phone(770) 832-0429
Laboratory LocationCarroll County Nephrology PC403 Permian Way, Suite B, Villa Rica, GA 30180
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2313797

Carroll County Nephrology, PC · Wedowee, AL
Active · expires Nov 6, 2026
CLIA Number01D2313797
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorDr. Bryan D. Quinn
Laboratory Phone(770) 832-0429
Laboratory LocationCarroll County Nephrology, PC1032 South Main Street, Suite 201, Wedowee, AL 36278
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 20

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

DAVID ERIC SCHOENFELD M.D.
Dermatology
157 CLINIC AVE, SUITE 301
CARROLLTON, GA 30117
Carroll County (770) 838-9333
THOMAS E REEVE III M.D.
Surgery
157 CLINIC AVE, SUITE 302
CARROLLTON, GA 30117
Carroll County (770) 834-3336
DR. RHONDA B ROGERS MD
Dermatology
157 CLINIC AVE, STE 301
CARROLLTON, GA 30117
Carroll County (770) 838-9333
RHONDA B ROGERS MD PC
Dermatology
157 CLINIC AVE, SUITE 301
CARROLLTON, GA 30117
Carroll County (770) 838-9333
RAUL G. ZUNZUNEGUI M.D.
Surgery
157 CLINIC AVE, SUITE 302
CARROLLTON, GA 30117
Carroll County (770) 834-3336
JOHN MATTHEW TOLBERT PA-C
Physician Assistant
157 CLINIC AVE, SUITE 301
CARROLLTON, GA 30117
Carroll County (770) 838-9333
JIM MARTIN CPT,FNP-C,MSN,AEMT
Nurse Practitioner
157 CLINIC AVE, SUITE 201
CARROLLTON, GA 30117
Carroll County (770) 214-2800
HOWARD SEEMAN M.D.
Internal Medicine (Gastroenterology)
157 CLINIC AVE, SUITE 201
CARROLLTON, GA 30117
Carroll County (770) 214-2800

Frequently Asked Questions

What is CARROLL COUNTY NEPHROLOGY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1285814988, enumerated as an "organization" on November 09, 2007.

Where is the provider located?

The provider is located at 157 CLINIC AVE SUITE 203 CARROLLTON, GA 30117 and the phone number is (770) 832-0429.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

What insurance does CARROLL COUNTY NEPHROLOGY LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.