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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: October 25, 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
Phone(205) 354-2100
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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Kidney Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southern Kidney Care, 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 (3)

Khusbu Patel, D.O.
Nephrology
NPI 1699018861
3570 GRANDVIEW PKWY STE 101
Birmingham, AL 35243
(205) 354-2100
✔ PECOSSame address
Mamatha Gandhi, MBBS
Internal Medicine
NPI 1154587897
619 19TH ST S
Birmingham, AL 35233
(205) 934-4011
✔ PECOS✔ Accepts Medicare7.7 mi
Suparna Thind, MD
Nephrology
NPI 1861838302
13782 PLANTATION RD STE 104
Fort Myers, FL 33912
(239) 689-8684
✔ PECOS✔ Accepts Medicare557 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Nephrology Medical Associates Of Georgia, LLC enrolled in Medicare?

Yes. Nephrology Medical Associates Of Georgia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nephrology Medical Associates Of Georgia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Nephrology Medical Associates Of Georgia, LLC, in Internal Medicine and Nephrology. 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.

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.