GEORGIA KIDNEY ASSOCIATES, INC.
NPI 1932183654
Specialist in Marietta, GA

Active since December 06, 2005CLIA Certified · 3 labs
55 WHITCHER ST NE, SUITE 460, MARIETTA, GA 30060(770) 427-7389(770) 427-2845 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Georgia Kidney Associates, Inc. NPPES

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

GEORGIA KIDNEY ASSOCIATES, INC. (NPI 1932183654) is a healthcare organization registered as a specialist in Marietta, Georgia and active in the NPI registry since December 2005. The organization holds 3 active CLIA laboratory certificates and lists Edward David Himot, Physician, as its authorized official.

NPPES Registry Identity

NPI1932183654
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGEORGIA KIDNEY ASSOCIATES, INC.
Location Address55 WHITCHER ST NE, SUITE 460Marietta, GA 30060-1155
Mailing Address55 Whitcher St Ne, Suite 460Marietta, GA 30060-1155 · (770) 427-7389 · Fax (770) 427-2845
Fax(770) 427-2845
Organization SubpartNo
Authorized OfficialEdward David HimotPhysician · (770) 427-7389
Enumeration DateDecember 6, 2005
Last NPPES UpdateMarch 4, 2013
✔ NPI 1932183654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
55 WHITCHER ST NE, Marietta, GA 30060

Other Identifiers 2

Medicaid300023127XGA
Medicare ID-Type UnspecifiedGRP528GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Georgia Kidney Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Georgia Kidney Associates, Inc., which bills Medicare for the services they deliver. Of these, 12 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nephrology7
Nurse Practitioner5
Internal Medicine3

Clinicians, nearest first (15)

Nephrology
NPI 1235133869
55 WHITCHER ST NE STE 460
Marietta, GA 30060
(770) 427-7389
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1255521803
55 WHITCHER ST NE SUITE 460
Marietta, GA 30060
(770) 427-7389
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1225255128
55 WHITCHER ST NE SUITE 460
Marietta, GA 30060
(770) 427-7389
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1407112436
55 WHITCHER ST NE STE 460
Marietta, GA 30060
(770) 427-7389
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1932631389
55 WHITCHER ST NE STE 460
Marietta, GA 30060
(770) 427-7389
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1730183377
55 WHITCHER ST NE STE 460
Marietta, GA 30060
(770) 427-7389
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1679577209
55 WHITCHER ST NE STE 460
Marietta, GA 30060
(770) 427-7389
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609121110
55 WHITCHER ST NE SUITE 460
Marietta, GA 30060
(678) 388-1577
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891528253
55 WHITCHER ST NE STE 460
Marietta, GA 30060
(770) 427-7389
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457356792
55 WHITCHER ST NE STE 460
Marietta, GA 30060
(770) 427-7389
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1124587936
55 WHITCHER ST NE STE 460
Marietta, GA 30060
(770) 427-7389
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1003474776
55 WHITCHER ST NE STE 460
Marietta, GA 30060
(770) 427-7389
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1285074971
303 PARKWAY DR NE
Atlanta, GA 30312
(404) 265-4919
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1730950304
1670 CLAIRMONT RD
Decatur, GA 30033
(404) 321-6111
✔ PECOS18 mi
Nurse Practitioner
NPI 1972175578
701 DELMAR AVE SE UNIT 1
Atlanta, GA 30312
(706) 825-2662
✔ PECOS✔ Accepts Medicare19 mi

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

CLIA Laboratory Certificates CMS CLIA 3

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) 11D1017785

Georgia Kidney Associates · Woodstock, GA
Active · expires Oct 5, 2027
CLIA Number11D1017785
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorRobert D. Jansen
Laboratory Phone(770) 427-7389
Laboratory LocationGeorgia Kidney Associates120 Stone Bridge Parkway Suite 410, Woodstock, GA 30189
CLIA data matches this NPI record on: 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0254894

Georgia Kidney Associates Inc · Marietta, GA
Active · expires Dec 17, 2026
CLIA Number11D0254894
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorEdward D. Himot
Laboratory Phone(770) 427-7389
Laboratory LocationGeorgia Kidney Associates Inc55 Whitcher St Suite 460, Marietta, GA 30060
CLIA data matches this NPI record on: 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D1092450

Georgia Kidney Associates · Austell, GA
Active · expires Nov 24, 2026
CLIA Number11D1092450
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorDr. Ogundipe Akin
Laboratory Phone(770) 427-7389
Laboratory LocationGeorgia Kidney Associates1680 Mulkey Road Suite 208, Austell, GA 30106
CLIA data matches this NPI record on: 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.

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 Associates, Inc.'s NPI number?

The NPI number for Georgia Kidney Associates, Inc. is 1932183654. It was assigned to this organization in the NPPES registry on December 6, 2005.

Where is Georgia Kidney Associates, Inc. located?

Georgia Kidney Associates, Inc. is located at 55 Whitcher St NE Suite 460, Marietta, GA 30060. The listed phone number is (770) 427-7389.

What is Georgia Kidney Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Georgia Kidney Associates, Inc. enrolled in Medicare?

Yes. Georgia Kidney Associates, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Kidney Associates, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Georgia Kidney Associates, Inc.. 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 (7), Nurse Practitioner (5) and Internal Medicine (3). Of these, 12 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Georgia Kidney Associates, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Georgia Kidney Associates, Inc. accept?

Health plans from Alliant Health Plans, Inc. list Georgia Kidney Associates, Inc. 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 Georgia Kidney Associates, Inc. was last updated on March 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.