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KIDNEY CLINIC CORDELE LLC
NPI 1336726215
Internal Medicine - Nephrology in Cordele, GA

Active since March 26, 2021CLIA 11D2220386 · Waiver
106 W 4TH AVE, CORDELE, GA 31015(615) 695-9292 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 29, 2023, Mar 29, 2021, Mar 26, 2021 (3 updates tracked since 2021).

About Kidney Clinic Cordele Llc NPPES

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

KIDNEY CLINIC CORDELE LLC (NPI 1336726215) is a healthcare organization registered as a nephrology in Cordele, Georgia and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Brenda H Lepley, Secretary And Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1336726215
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CLINIC CORDELE LLC
Location Address106 W 4TH AVECordele, GA 31015-3214
Mailing Address512 Autumn Springs Ct Ste DFranklin, TN 37067-2847 · (615) 695-9292
Phone(615) 695-9292
Organization SubpartNo
Authorized OfficialBrenda H LepleySecretary And Operations Manager · (615) 969-7391
Enumeration DateMarch 26, 2021
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1336726215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
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.
106 W 4TH AVE, Cordele, GA 31015
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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)

Kidney Clinic Cordele Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kidney Clinic Cordele LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nestor Almeida, MD
Nephrology
NPI 1891089926
106 W 4TH AVE
Cordele, GA 31015
(229) 271-3200
✔ PECOS✔ Accepts MedicareSame address
Judy Fajardo, AGCANP-BC
Nurse Practitioner
NPI 1811548597
902 N 7TH ST
Cordele, GA 31015
(229) 276-3100
✔ PECOS✔ Accepts Medicare1.1 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 11D2220386

Kidney Clinic Cordele LLC · Cordele, GA
Active · expires Apr 11, 2027
CLIA Number11D2220386
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorAndre D. Feria
Laboratory Phone(229) 276-3541
Laboratory LocationKidney Clinic Cordele LLC106 West 4th Avenue, Cordele, GA 31015
CLIA data matches this NPI record on: Address Name
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 Kidney Clinic Cordele LLC's NPI number?

The NPI number for Kidney Clinic Cordele LLC is 1336726215. It was assigned to this organization in the NPPES registry on March 26, 2021.

Where is Kidney Clinic Cordele LLC located?

Kidney Clinic Cordele LLC is located at 106 W 4th Ave, Cordele, GA 31015. The listed phone number is (615) 695-9292.

What is Kidney Clinic Cordele LLC's specialty?

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

Is Kidney Clinic Cordele LLC enrolled in Medicare?

Yes. Kidney Clinic Cordele LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Clinic Cordele LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kidney Clinic Cordele LLC, in Nephrology and Nurse Practitioner. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kidney Clinic Cordele LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2220386) is associated with this NPI, valid through April 11, 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 Kidney Clinic Cordele LLC was last updated on August 29, 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.