Carroll County Nephrology PC
NPI 1558403113ActiveOrganization· Internal Medicine, Nephrology· Carrollton, GA
Internal Medicine, Nephrology in Carrollton, Georgia, registered in NPPES in February 2007. The authorized official on file is Rachel A. Tate, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1558403113 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2007 |
| Last updated in NPPES | Jun 23, 2026 |
| Certified by provider | Jun 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
| Internal Medicine | 207R00000X | — | — |
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 (AL); Part B Supplier - Clinic/Group Practice (GA) |
|---|
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