SOUTHERN KIDNEY CARE
NPI 1407192172
Internal Medicine - Nephrology in Birmingham, AL

Active since December 27, 2012
3570 GRANDVIEW PKWY STE 2, BIRMINGHAM, AL 35243(205) 354-2100(866) 343-6766 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 12, 2017, Apr 19, 2017 and 1 more (4 updates tracked since 2016).

About Southern Kidney Care NPPES

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

SOUTHERN KIDNEY CARE (NPI 1407192172) is a healthcare organization registered as a nephrology in Birmingham, Alabama and active in the NPI registry since December 2012. The organization lists Jennie Peterson, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1407192172
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA, LLC
Location Address3570 GRANDVIEW PKWY STE 2Birmingham, AL 35243-2064
Mailing Address1840 E. Ray RoadChandler, AZ 85225 · (205) 354-2100 · Fax (866) 343-6766
Fax(866) 343-6766
Organization SubpartNo
Authorized OfficialJennie PetersonVp Of Operations · (205) 983-1120
Enumeration DateDecember 27, 2012
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1407192172 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.
3570 GRANDVIEW PKWY STE 2, Birmingham, AL 35243

Other Names 1

Doing Business AsSouthern Kidney Care

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

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 Nephrology Medical Associates Of Georgia, LLC's NPI number?

The NPI number for Nephrology Medical Associates Of Georgia, LLC is 1407192172. It was assigned to this organization in the NPPES registry on December 27, 2012. The provider is doing business as Southern Kidney Care.

Where is Nephrology Medical Associates Of Georgia, LLC located?

Nephrology Medical Associates Of Georgia, LLC is located at 3570 Grandview Pkwy Ste 2, Birmingham, AL 35243. The listed phone number is (205) 354-2100.

What is Nephrology Medical Associates Of Georgia, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Nephrology Medical Associates Of Georgia, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.