Northwest Nephrology Clinic

LBN: Northwest Nephrology Clinic
Northwest Nephrology Clinic is an health care organization with primary practice located at 5255 Snapfinger Park Dr Suite 110, Decatur GA 30035-4084. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Northwest Nephrology Clinic can be contacted via phone (770) 981-2211, or through Dixon, Andrew A via phone (770) 981-2211.

Contact Information

Primary practice address
5255 Snapfinger Park Dr Suite 110 Decatur GA 30035-4084
Phone: (770) 981-2211
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Andrew A Doctor of Medicine (MD)
Phone: (770) 981-2211

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 028761 Georgia

Profile Details

NPI number 1215052261
LBN Legal business name Northwest Nephrology Clinic
DBA Doing business as
Authorized official Dixon, Andrew A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Mar 8th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215052261 NPPES
Georgia MEDICAID 000702281G
Georgia MEDICAID 103863411B
Georgia MEDICAID 300030041B
Georgia MEDICAID 103863411A
Georgia MEDICAID 000441306E

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