Kidney Center of Central Georgia, LLC
NPI 1962708891 · Nephrology Physician · Macon, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kidney Center of Central Georgia, LLC is a Nephrology Physician organization in Macon, GA (NPI 1962708891).
Provider details
- NPI number
- 1962708891
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rachael Tisdale, Practice Manager(478) 254-7353
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
15 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
- 2011-02-10
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Frequently asked questions
- What is Kidney Center of Central Georgia, LLC's NPI number?
- Kidney Center of Central Georgia, LLC's National Provider Identifier (NPI) is 1962708891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kidney Center of Central Georgia, LLC?
- Kidney Center of Central Georgia, LLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Kidney Center of Central Georgia, LLC located?
- Kidney Center of Central Georgia, LLC's practice location on file with NPPES is 657 Hemlock St Ste 200, Macon, GA 31201-8324.
- What is Kidney Center of Central Georgia, LLC's phone number?
- The practice phone number listed in the NPPES registry for Kidney Center of Central Georgia, LLC is (478) 254-7353.
- Does Kidney Center of Central Georgia, LLC accept Medicare?
- Kidney Center of Central Georgia, 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 Kidney Center of Central Georgia, LLC?
- The authorized official listed on Kidney Center of Central Georgia, LLC's NPPES record is Rachael Tisdale, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kidney Center of Central Georgia, LLC's NPI active?
- Yes — Kidney Center of Central Georgia, LLC's NPI (1962708891) is active in the NPPES registry as of the last update on 2026-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.