GEORGIA QUALITY KIDNEY CARE, LLC


Address: 170 Camden Hill Road, Suite F, Lawrenceville, GA 30046
Phone: 7703394225

GEORGIA QUALITY KIDNEY CARE, LLC (NPI# 1861710998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861710998
Entity Type Organization
Organization Name GEORGIA QUALITY KIDNEY CARE, LLC
Practice Address 170 Camden Hill Road
Suite F
Lawrenceville
GA 30046
Mailing Address 170 Camden Hill Rd
Suite F
Lawrenceville
GA 30046-7418
Practice Telephone 7703394225
Practice Fax Number 7703394797
Mailing Telephone 7703394225
Mailing Fax Number 7703394797
Enumeration Date 2010-05-13
Last Update Date 2014-06-25
Authorized Official Name DR. WILLIAM G PAXTON (MANAGING MEMBER)
Authorized Official Telephone 7703394225
Authorized Official Credential MD, PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 046206 GA Other Service Providers
Y 207RN0300X Internal Medicine
Specialization: Nephrology
GA Allopathic & Osteopathic Physicians

Office Location

Street Address 170 CAMDEN HILL ROAD
SUITE F
City LAWRENCEVILLE
State GA
Zip Code 30046

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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063070654 Kidney Specialists of Georgia PC Internal Medicine 575 Professional Dr Ste 290, Lawrenceville, GA 30046-3347 2019-05-30
1417101189 Chetana Rondla Internal Medicine 595 Hurricane Shoals Road, N.w., Suite 100, Lawrenceville, GA 30046 2008-11-07
1346412012 Mark A Klausner Internal Medicine 2332 Town Ct N, Lawrenceville, NJ 08648-4709 2008-04-02
1023298981 Franklin D. Diaz, Md, PC Internal Medicine 601 A Professional Drive, Suite 200, Lawrenceville, GA 30045-3004 2007-11-08
1407999246 Franklin Daniel Diaz Internal Medicine 601a Professional Drive Ste 225, Lawrenceville, GA 30046-3325 2007-02-14
1295721124 Meena J. Kavil Internal Medicine 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046 2005-09-26
1700881612 Kirti K Shah Internal Medicine 605 Old Norcross Rd, Lawrenceville, GA 30045-4315 2005-06-16
1972507630 Li-kun Tu Internal Medicine 595 Hurricane Shoals Road Suite 100, Lawrenceville, GA 30046 2005-06-10
1306193016 Ewalola Ayo Ijaduola Internal Medicine 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 2012-08-13
1922390830 Vinod Raman Internal Medicine 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 2011-05-11
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Competitor

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City LAWRENCEVILLE
Zip Code 30046

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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