Georgia Kidney Clinic LLC
NPI 1962119156 · Nephrology Physician · Buford, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Georgia Kidney Clinic LLC is a Nephrology Physician organization in Buford, GA (NPI 1962119156).
Provider details
- NPI number
- 1962119156
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Riyadh Al-Rubaye, Owner(404) 731-6033
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
3 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
- 2022-10-28
- Last updated
- 2022-10-28
- Certified
- 2022-10-24
Frequently asked questions
- What is Georgia Kidney Clinic LLC's NPI number?
- Georgia Kidney Clinic LLC's National Provider Identifier (NPI) is 1962119156, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Georgia Kidney Clinic LLC?
- Georgia Kidney Clinic LLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Georgia Kidney Clinic LLC located?
- Georgia Kidney Clinic LLC's practice location on file with NPPES is 3382 Grace Farm Ln, Buford, GA 30519.
- What is Georgia Kidney Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Georgia Kidney Clinic LLC is (404) 731-6033.
- Does Georgia Kidney Clinic LLC accept Medicare?
- Georgia Kidney Clinic 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 Georgia Kidney Clinic LLC?
- The authorized official listed on Georgia Kidney Clinic LLC's NPPES record is Riyadh Al-Rubaye, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Georgia Kidney Clinic LLC's NPI active?
- Yes — Georgia Kidney Clinic LLC's NPI (1962119156) is active in the NPPES registry as of the last update on 2022-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.