1. Home
  2. Directory
  3. Georgia
  4. Stockbridge
  5. Internal Medicine
  6. NPI Profile

SOUTHSIDE KIDNEY CLINICS, PC
NPI 1659398600
Internal Medicine - Nephrology in Stockbridge, GA

Active since July 16, 2006CLIA 11D0933005 · Microscopy
3580 CAMERON PARKWAY, STOCKBRIDGE, GA 30281(770) 996-6446(770) 996-6279 Get Directions Write a Review

NPPES record last updated: January 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southside Kidney Clinics, Pc NPPES

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

SOUTHSIDE KIDNEY CLINICS, PC (NPI 1659398600) is a healthcare organization registered as a nephrology in Stockbridge, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through September 2, 2027 and lists Kim A Thorpe, Lpn Office Manager, as its authorized official.

NPPES Registry Identity

NPI1659398600
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHSIDE KIDNEY CLINICS, PC
Location Address3580 CAMERON PARKWAYStockbridge, GA 30281
Mailing Address3580 Cameron ParkwayStockbridge, GA 30281 · (770) 996-6446 · Fax (770) 996-6279
Phone(770) 996-6446
Fax(770) 996-6279
Organization SubpartNo
Authorized OfficialKim A ThorpeLpn Office Manager · (770) 996-6446
Enumeration DateJuly 16, 2006
Last NPPES UpdateJanuary 14, 2008
✔ NPI 1659398600 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.
3580 CAMERON PARKWAY, Stockbridge, GA 30281
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedGRP3713GA

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 for Provider-Performed Microscopy Procedures (PPMP) 11D0933005

Southside Kidney Clinic PC · Stockbridge, GA
Active · expires Sep 2, 2027
CLIA Number11D0933005
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorMohamad M. Kassem MD
Laboratory Phone(770) 996-6446
Laboratory LocationSouthside Kidney Clinic PC3580 Cameron Parkway, Stockbridge, GA 30281
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

CHADI OBEID MD
Internal Medicine (Nephrology)
3580 CAMERON PARKWAY
STOCKBRIDGE, GA 30281
Henry County (770) 996-6446
DR. MOHAMAD M KASSEM M.D.
Internal Medicine (Nephrology)
3580 CAMERON PARKWAY
STOCKBRIDGE, GA 30281
Henry County (770) 996-6446

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 Southside Kidney Clinics, PC's NPI number?

The NPI number for Southside Kidney Clinics, PC is 1659398600. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Southside Kidney Clinics, PC located?

Southside Kidney Clinics, PC is located at 3580 Cameron Parkway, Stockbridge, GA 30281. The listed phone number is (770) 996-6446.

What is Southside Kidney Clinics, PC's specialty?

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

Does Southside Kidney Clinics, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0933005) is associated with this NPI, valid through September 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southside Kidney Clinics, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southside Kidney Clinics, 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 Southside Kidney Clinics, PC was last updated on January 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.