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KIDNEY CARE CENTER GWINNETT LLC
NPI 1487210316
Internal Medicine - Nephrology in Lawrenceville, GA

Active since May 16, 2019
601A PROFESSIONAL DR STE 235, LAWRENCEVILLE, GA 30046(470) 292-3957(470) 292-3683 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2022, Feb 15, 2022, Jan 31, 2022 and 1 more (4 updates tracked since 2019).

About Kidney Care Center Gwinnett Llc NPPES

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

KIDNEY CARE CENTER GWINNETT LLC (NPI 1487210316) is a healthcare organization registered as a nephrology in Lawrenceville, Georgia and active in the NPI registry since May 2019. The organization maintains 2 additional practice locations and lists Morufu Olatunji Alausa, Chief Medical Director, as its authorized official.

NPPES Registry Identity

NPI1487210316
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE CENTER GWINNETT LLC
Location Address601A PROFESSIONAL DR STE 235Lawrenceville, GA 30046-7697
Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 741-6830 · Fax (815) 941-1806
Phone(470) 292-3957
Fax(470) 292-3683
Organization SubpartNo
Authorized OfficialMorufu Olatunji AlausaChief Medical Director · (815) 741-6830
Enumeration DateMay 16, 2019
Last NPPES UpdateSeptember 15, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1487210316 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.
601A PROFESSIONAL DR STE 235, Lawrenceville, GA 30046
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13268 Greenbriar Pkwy SW Ste BAtlanta, GA 30331-2604 · Phone (470) 292-3957 · Fax (470) 292-3683
Location 23660 Flat Shoals Rd Ste 250Decatur, GA 30034-1637 · Phone (678) 935-6090

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

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kidney Care Center Gwinnett LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Kunal Buch, M.D.
Nephrology
NPI 1124373196
601A PROFESSIONAL DR SUITE 235
Lawrenceville, GA 30046
(470) 292-3957
✔ PECOS✔ Accepts MedicareSame address
Ivan Claudo-Gonzalez
Nephrology
NPI 1235589730
601A PROFESSIONAL DR SUITE 235
Lawrenceville, GA 30046
(470) 292-3957
✔ PECOS✔ Accepts MedicareSame address
Ebenezer Dawodu, MD
Nephrology
NPI 1962990648
601A PROFESSIONAL DRIVE SUITE 235
Lawrenceville, GA 30046
(470) 292-3957
✔ PECOS✔ Accepts MedicareSame address
Junaid Nasir, M.D.
Nephrology
NPI 1972850055
601A PROFESSIONAL DR SUITE 235
Lawrenceville, GA 30046
(470) 292-3957
✔ PECOS✔ Accepts MedicareSame address

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 Kidney Care Center Gwinnett LLC's NPI number?

The NPI number for Kidney Care Center Gwinnett LLC is 1487210316. It was assigned to this organization in the NPPES registry on May 16, 2019.

Where is Kidney Care Center Gwinnett LLC located?

Kidney Care Center Gwinnett LLC is located at 601A Professional Dr Ste 235, Lawrenceville, GA 30046. The listed phone number is (470) 292-3957.

What is Kidney Care Center Gwinnett LLC's specialty?

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

Is Kidney Care Center Gwinnett LLC enrolled in Medicare?

Yes. Kidney Care Center Gwinnett LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Care Center Gwinnett LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nephrology, reassign their Medicare billing to Kidney Care Center Gwinnett LLC. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kidney Care Center Gwinnett LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kidney Care Center Gwinnett LLC 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 Kidney Care Center Gwinnett LLC was last updated on September 15, 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.