Active NPI
Nelson Kevin Tanefo Kuete, MD
- Urology Physician
- Carrollton, GA
National Provider Identifier
1063096154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 113551
- Practice address
- 150 Clinic Ave Ste 202
Carrollton, GA 30117-4402 - Phone
- (770) 834-6988
- Fax
- (770) 834-1090
- NPI assigned
- May 6, 2021
- Last updated
- Sep 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 113551 | GA | Primary |
Addresses
Primary practice location
150 Clinic Ave Ste 202
Carrollton, GA 30117-4402
Mailing address
6911 Slate Stone Way SE
Mableton, GA 30126-5425
Phone (770) 827-9756
Other names 1
- Nelson Kevin Tanefo Kuete
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260624002541 | GA | Practitioner - Urology | 6305248071 |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Morehouse School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Greenway Blvd
Carrollton, GA 30117-4338
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13472 | GA | MD | Physician Assistant |
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory University Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
dba Emory University Hospital At Wesley Woods
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1063096154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6911 SLATE STONE WAY SE",
"city": "MABLETON",
"state": "GA",
"postal_code": "301265425",
"telephone_number": "770-827-9756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CLINIC AVE STE 202",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174402",
"telephone_number": "770-834-6988",
"fax_number": "770-834-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUETE",
"first_name": "NELSON KEVIN",
"middle_name": "TANEFO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-06",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "113551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NELSON",
"last_name": "KUETE",
"middle_name": "KEVIN TANEFO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.