SOUTHWEST ATLANTA NEPHROLOGY, PC
NPI 1992756894
Internal Medicine - Nephrology in Atlanta, GA

Active since May 15, 2006CLIA Certified · 2 labs
3620 M L KING JR DR SW, ATLANTA, GA 30331(404) 696-7300(404) 699-3514 Get Directions Write a Review

NPPES record last updated: September 27, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southwest Atlanta Nephrology, Pc NPPES

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

SOUTHWEST ATLANTA NEPHROLOGY, PC (NPI 1992756894) is a healthcare organization registered as a nephrology in Atlanta, Georgia and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists William H Cleveland, President, as its authorized official.

NPPES Registry Identity

NPI1992756894
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHWEST ATLANTA NEPHROLOGY, PC
Location Address3620 M L KING JR DR SWAtlanta, GA 30331-3711
Mailing Address3620 M L King Jr Dr SwAtlanta, GA 30331-3711 · (404) 696-7300 · Fax (404) 699-3514
Fax(404) 699-3514
Organization SubpartNo
Authorized OfficialWilliam H ClevelandPresident · (404) 696-7300
Enumeration DateMay 15, 2006
Last NPPES UpdateSeptember 27, 2010
✔ NPI 1992756894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 017375
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.
3620 M L KING JR DR SW, Atlanta, GA 30331

Other Identifiers 4

Medicaid55000490AGA
Other154733GA · Bcbs
Medicare PINCL6650GA
Medicare PINGRP482GA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Atlanta Nephrology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Southwest Atlanta Nephrology, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1770176661
3620 MARTIN LUTHER KING JR DR SW
Atlanta, GA 30331
(404) 696-7300
✔ PECOSSame address
Nephrology
NPI 1295723492
3620 MARTIN LUTHER KING JR DR SW
Atlanta, GA 30331
(404) 696-7300
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1023464435
3620 MLK JR DR SW
Atlanta, GA 30331
(404) 696-7300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356822126
3375 MEMORIAL DR STE G
Decatur, GA 30032
(404) 494-6774
✔ PECOS✔ Accepts Medicare13 mi
Nephrology
NPI 1265420574
3620 M L KING JR DR SW
Atlanta, GA 30331
(404) 696-7300
✔ PECOS✔ Accepts Medicare16 mi
Nephrology
NPI 1588607493
3620 M L KING JR DR SW
Atlanta, GA 30331
(404) 696-7300
✔ PECOS✔ Accepts Medicare17 mi
Nephrology
NPI 1730274218
3620 M L KING JR DR SW
Atlanta, GA 30331
(404) 696-7300
✔ PECOS✔ Accepts Medicare17 mi
Internal Medicine
NPI 1427077510
3620 M L KING JR DR SW
Atlanta, GA 30331
(404) 696-7300
✔ PECOS✔ Accepts Medicare17 mi
Registered Dietitian or Nutrition Professional
NPI 1699449199
500 N US HIGHWAY 89
Prescott, AZ 86313
(928) 445-4860
1,599 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 2

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 of Waiver 11D0915857

Southwest Atlanta Nephrology Inc · Atlanta, GA
Active · expires Aug 5, 2027
CLIA Number11D0915857
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorWilliam H. Cleveland MD
Laboratory Phone(404) 696-7300
Laboratory LocationSouthwest Atlanta Nephrology Inc3620 Mlk Jr Drive SW, Atlanta, GA 30331
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1043412

Southwest Atlanta Nephrology PC · Decatur, GA
Active · expires Jul 21, 2027
CLIA Number11D1043412
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorWilliam H. Cleveland
Laboratory Phone(404) 696-7300
Laboratory LocationSouthwest Atlanta Nephrology PC2485 Park Central Boulevard, Decatur, GA 30035
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Southwest Atlanta Nephrology, PC's NPI number?

The NPI number for Southwest Atlanta Nephrology, PC is 1992756894. It was assigned to this organization in the NPPES registry on May 15, 2006.

Where is Southwest Atlanta Nephrology, PC located?

Southwest Atlanta Nephrology, PC is located at 3620 M L King Jr Dr SW, Atlanta, GA 30331. The listed phone number is (404) 696-7300.

What is Southwest Atlanta Nephrology, PC's specialty?

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

Is Southwest Atlanta Nephrology, PC enrolled in Medicare?

Yes. Southwest Atlanta Nephrology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Atlanta Nephrology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Southwest Atlanta Nephrology, PC. 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 (5), Nurse Practitioner (2) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southwest Atlanta Nephrology, PC hold CLIA laboratory certificates?

Yes. 2 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 Southwest Atlanta Nephrology, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southwest Atlanta Nephrology, 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 Southwest Atlanta Nephrology, PC was last updated on September 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.