North Georgia Kidney Specialists, LLC
NPI 1053416925 · Nephrology Physician · Marietta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North Georgia Kidney Specialists, LLC is a Nephrology Physician organization in Marietta, GA (NPI 1053416925).
Provider details
- NPI number
- 1053416925
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Manolo Gallego, President/Physician(770) 528-9788
- License
- 036745 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2013-07-15
Frequently asked questions
- What is North Georgia Kidney Specialists, LLC's NPI number?
- North Georgia Kidney Specialists, LLC's National Provider Identifier (NPI) is 1053416925, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Georgia Kidney Specialists, LLC?
- North Georgia Kidney Specialists, LLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is North Georgia Kidney Specialists, LLC located?
- North Georgia Kidney Specialists, LLC's practice location on file with NPPES is 880 Canton Rd Ne, Marietta, GA 30060-7283.
- What is North Georgia Kidney Specialists, LLC's phone number?
- The practice phone number listed in the NPPES registry for North Georgia Kidney Specialists, LLC is (770) 528-9788.
- Does North Georgia Kidney Specialists, LLC accept Medicare?
- North Georgia Kidney Specialists, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for North Georgia Kidney Specialists, LLC?
- The authorized official listed on North Georgia Kidney Specialists, LLC's NPPES record is Manolo Gallego, President/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Georgia Kidney Specialists, LLC's NPI active?
- Yes — North Georgia Kidney Specialists, LLC's NPI (1053416925) is active in the NPPES registry as of the last update on 2013-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.