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GEORGIA KIDNEY CLINIC LLC
NPI 1417664616
Internal Medicine - Nephrology in Buford, GA

Active since October 28, 2022
3382 GRACE FARM LN, BUFORD, GA 30519(404) 731-6033 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgia Kidney Clinic Llc NPPES

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

GEORGIA KIDNEY CLINIC LLC (NPI 1417664616) is a healthcare organization registered as a nephrology in Buford, Georgia and active in the NPI registry since October 2022. The organization lists Riyadh R Al-rubaye, Owner, as its authorized official.

NPPES Registry Identity

NPI1417664616
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGEORGIA KIDNEY CLINIC LLC
Location Address3382 GRACE FARM LNBuford, GA 30519
Mailing Address2725 Hamilton Mill Rd Ste 500Buford, GA 30519-6010 · (404) 731-6033
Phone(404) 731-6033
Organization SubpartNo
Authorized OfficialRiyadh R Al-rubayeOwner · (047) 316-0334
Enumeration DateOctober 28, 2022
NPPES CertifiedOctober 24, 2022
✔ NPI 1417664616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · End-Stage Renal Disease (ESRD) TreatmentTaxonomy 261QE0700X
3382 GRACE FARM LN, Buford, GA 30519
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Other Providers at the Same Location NPPES

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

GEORGIA KIDNEY CLINIC LLC
Internal Medicine (Nephrology)
3382 GRACE FARM LN
BUFORD, GA 30519
Gwinnett County (404) 731-6033

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 Georgia Kidney Clinic LLC's NPI number?

The NPI number for Georgia Kidney Clinic LLC is 1417664616. It was assigned to this organization in the NPPES registry on October 28, 2022.

Where is Georgia Kidney Clinic LLC located?

Georgia Kidney Clinic LLC is located at 3382 Grace Farm Ln, Buford, GA 30519. The listed phone number is (404) 731-6033.

What is Georgia Kidney Clinic 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 Georgia Kidney Clinic LLC was last updated on October 28, 2022. 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.