Active NPI
Atlanta Kidney and Hypertension Associates
- Nephrology Physician
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 055949
- Legal business name
- ATLANTA KIDNEY AND HYPERTENSION ASSOCIATES
- Practice address
- 1810 Mulkey Rd
Suite 103
Austell, GA 30106-1151 - Phone
- (770) 732-8464
- Fax
- (770) 732-8462
- NPI assigned
- Jul 12, 2006
- Last updated
- Apr 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Traci Evett
- Title
- Billing Coordinator
- Phone
- (678) 247-1434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 055949 | GA | Primary |
Addresses
Primary practice location
1810 Mulkey Rd
Suite 103
Austell, GA 30106-1151
Mailing address
1810 Mulkey Rd
Suite 103
Austell, GA 30106-1151
Phone (770) 732-8464
Other practice location 1
1899 Lake Rd Ste 111
Hiram, GA 30141-2292
Phone (770) 732-8464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1053467 | Atlanta Kidney and Hypertension Associates | Provider-performed microscopy | Apr 1, 2028 |
| 11D1095730 | Atlanta Kidney and Hypertension Associates | Provider-performed microscopy | Feb 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
1810 Mulkey Rd
Ste 103
Austell, GA 30106
Phone (770) 732-8464
1899 Lake Rd
Ste 111
Hiram, GA 30141
Phone (770) 732-8464
Interoperability endpoints
- https://api.platform.athenahealth.com/3666/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Austell, GA
- NPI 1568696870
-
- Nephrology Physician
- Austell, GA
- NPI 1417919796
-
- Nephrology Physician
- Austell, GA
- NPI 1447213707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650326400000",
"number": "1083649552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 MULKEY RD",
"address_2": "SUITE 103",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061151",
"telephone_number": "770-732-8464",
"fax_number": "770-732-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 MULKEY RD",
"address_2": "SUITE 103",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061151",
"telephone_number": "770-732-8464",
"fax_number": "770-732-8462"
}
],
"practiceLocations": [
{
"address_1": "1899 Lake Rd Ste 111",
"address_purpose": "LOCATION",
"city": "Hiram",
"state": "GA",
"postal_code": "301412292",
"country_code": "US",
"telephone_number": "770-732-8464",
"fax_number": "770-732-8462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ATLANTA KIDNEY AND HYPERTENSION ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A",
"authorized_official_last_name": "EVETT",
"authorized_official_first_name": "TRACI",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "678-247-1434"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "055949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
- Oyebimpe Glory Aroniyo
- Michelle Arrington-Myers
- Ashish Kapila DPM
- Saad Aslam, MBBS
- Assurance Wellness LLC
- Atlanta Prosthetics & Orthotics, Inc.
- Atlanta West Dermatology & Surgery Center PC (Atlanta West Dermatology PC)
- Atlanta West Family Dentistry
- Attention Consulting Services LLC
- Kate Elizabeth Aufort
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.