THE KIDNEY CLINIC
NPI 1811159718
Clinic/Center - Medical Specialty in Snellville, GA

Active since July 01, 2008
2386 CLOWER ST STE C105, SNELLVILLE, GA 30078(678) 344-0334(678) 344-0343 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2026, Sep 11, 2025, Dec 10, 2019 (3 updates tracked since 2019).

About The Kidney Clinic NPPES

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

THE KIDNEY CLINIC (NPI 1811159718) is a healthcare organization registered as a medical specialty in Snellville, Georgia and active in the NPI registry since July 2008. The organization maintains 6 additional practice locations and lists Mazen A Abdalla, Physician, as its authorized official.

NPPES Registry Identity

NPI1811159718
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameTHE KIDNEY CLINIC
Location Address2386 CLOWER ST STE C105Snellville, GA 30078-6107
Mailing Address2386 Clower St, Suite C-105Snellville, GA 30078-6134 · (678) 344-0334 · Fax (678) 344-0343
Fax(678) 344-0343
Organization SubpartNo
Authorized OfficialMazen A AbdallaPhysician · (678) 344-0334
Enumeration DateJuly 1, 2008
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1811159718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in GA · 038414
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2386 CLOWER ST STE C105, Snellville, GA 30078

Secondary Practice Locations 6

Location 14555 Atlanta HwyLoganville, GA 30052-2646 · Phone (678) 344-0334 · Fax (678) 344-0343
Location 24805 Lawrenceville Hwy NW Ste 320Lilburn, GA 30047-3800 · Phone (678) 344-0334 · Fax (678) 344-0343
Location 310132 Carlin DriveCovington, GA 30014-3651 · Phone (678) 344-0334 · Fax (678) 344-0343
Location 42399 Wall St SEConyers, GA 30013-2187 · Phone (678) 344-0334 · Fax (678) 344-0343
Location 51501 Milstead Rd NE Ste 150Conyers, GA 30012-3857 · Phone (678) 344-0334 · Fax (678) 344-0343
Location 63370 Sugarloaf Pkwy Ste A1Lawrenceville, GA 30044-5491 · Phone (678) 344-0334 · Fax (678) 344-0343

Other Identifiers 2

Other1467420893GA · Npi For Mazen Abdalla,md
Medicaid00612752AGA

Accepted 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)

The Kidney Clinic 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 The Kidney Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nephrology
NPI 1467420893
2386 CLOWER ST STE C105
Snellville, GA 30078
(678) 344-0334
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1912285701
2386 CLOWER ST STE C105
Snellville, GA 30078
(667) 344-0334
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1265699920
2386 CLOWER ST STE C105
Snellville, GA 30078
(678) 344-0334
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1710256912
2386 CLOWER ST STE C105
Snellville, GA 30078
(678) 344-0334
✔ 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 The Kidney Clinic's NPI number?

The NPI number for The Kidney Clinic is 1811159718. It was assigned to this organization in the NPPES registry on July 1, 2008.

Where is The Kidney Clinic located?

The Kidney Clinic is located at 2386 Clower St Ste C105, Snellville, GA 30078. The listed phone number is (678) 344-0334.

What is The Kidney Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is The Kidney Clinic enrolled in Medicare?

Yes. The Kidney Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Kidney Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to The Kidney Clinic. 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. The largest specialties are Nephrology (3) and Internal Medicine (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Kidney Clinic accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list The Kidney Clinic 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 The Kidney Clinic was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.