THE KIDNEY CLINIC
NPI 1386780104
Internal Medicine - Nephrology in Lagrange, GA
About The Kidney Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE KIDNEY CLINIC (NPI 1386780104) is a healthcare organization registered as a nephrology in Lagrange, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 27, 2026, maintains a secondary practice location in Cordele, and lists Andre D. Feria, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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)
The Kidney Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to The Kidney Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 11D2274187
Andre D Feria, MD, PC · Cordele, 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 Andre D. Feria MD PC's NPI number?
The NPI number for Andre D. Feria MD PC is 1386780104. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is also known as The Kidney Clinic.
Where is Andre D. Feria MD PC located?
Andre D. Feria MD PC is located at 142 Old Mill Road, Lagrange, GA 30241. The listed phone number is (706) 885-1900.
What is Andre D. Feria MD PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Andre D. Feria MD PC enrolled in Medicare?
Yes. Andre D. Feria MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Andre D. Feria MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Andre D. Feria MD PC. 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. The largest specialties are Nurse Practitioner (3), Nephrology (2) and Hospitalist (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Andre D. Feria MD PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2274187) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Andre D. Feria MD PC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Andre D. Feria MD PC 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 Andre D. Feria MD PC was last updated on January 10, 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.
# The Kidney Clinic · NPI 1386780104
Nephrology organization in Lagrange, Georgia. Organization record, active in the CMS NPPES registry since January 29, 2007.
## Identity
- **NPI:** 1386780104 (Entity type: Organization)
- **Enumerated:** January 29, 2007
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Legal business name:** Andre D. Feria Md Pc
- **Organization subpart:** No
- **Authorized official:** Andre Feria, PRESIDENT
## Practice location
- **Address:** 142 OLD MILL ROAD, Lagrange, GA 30241
- **Phone:** (706) 885-1900 · **Fax:** (706) 882-1350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Nephrology (2), Hospitalist (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386780104) · Data from the CMS NPPES public registry.