THE KIDNEY CLINIC
NPI 1386780104
Internal Medicine - Nephrology in Lagrange, GA

Active since January 29, 2007CLIA 11D2274187 · Waiver
142 OLD MILL ROAD, LAGRANGE, GA 30241(706) 885-1900(706) 882-1350 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1386780104
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameANDRE D. FERIA MD PC
Location Address142 OLD MILL ROADLagrange, GA 30241
Mailing Address142 Old Mill RoadLagrange, GA 30241 · (706) 885-1900 · Fax (706) 882-1350
Fax(706) 882-1350
Organization SubpartNo
Authorized OfficialAndre D. FeriaPresident · (706) 885-1900
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJanuary 10, 2023
NPPES CertifiedJanuary 10, 2023
NPI 1386780104 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 · 048513
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.
142 OLD MILL ROAD, Lagrange, GA 30241

Other Names 1

Other NameThe Kidney Clinic

Secondary Practice Location 1

Location 1106 W 4th AveCordele, GA 31015-3214 · Phone (229) 271-3200

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

Accepted Insurance

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, GA
Active · expires Dec 27, 2026
CLIA Number11D2274187
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorAndre D. Feria
Laboratory Phone(229) 271-3200
Laboratory LocationAndre D Feria, MD, PC106 West 4th Avenue, Cordele, GA 31015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Nephrology)
142 OLD MILL ROAD
LAGRANGE, GA 30241
Internal Medicine (Nephrology)
142 OLD MILL ROAD
LAGRANGE, GA 30241

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 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.

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.