North Georgia Kidney Specialists, LLC
NPI 1053416925ActiveOrganization· Internal Medicine, Nephrology· Marietta, GA
Internal Medicine, Nephrology in Marietta, Georgia, registered in NPPES in September 2006. The authorized official on file is Manolo S. Gallego, M.D., President/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053416925 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Jul 15, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 036745 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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