Kidney Specialists of Georgia PC
NPI 1063070654ActiveOrganization· Internal Medicine, Nephrology· Lawrenceville, GA
Internal Medicine, Nephrology in Lawrenceville, Georgia, registered in NPPES in May 2019. The authorized official on file is Nnamdi Kelechi Nwaohiri, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063070654 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2019 |
| Last updated in NPPES | Jan 17, 2020 |
| Certified by provider | Jan 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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