Active NPI
Metro Nephrology, Inc
- Nephrology Physician
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 13543
- Legal business name
- METRO NEPHROLOGY, INC
- Practice address
- 11810 Northfall LN Ste 1202
Alpharetta, GA 30009-7975 - Phone
- (770) 663-8761
- Fax
- (770) 663-8767
- NPI assigned
- May 6, 2009
- 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
- Dr. Madhu Reddy, MD
- Title
- President
- Phone
- (770) 663-8766
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 13543 | GA | Primary |
Addresses
Primary practice location
11810 Northfall LN Ste 1202
Alpharetta, GA 30009-7975
Mailing address
11810 Northfall LN Ste 1202
Alpharetta, GA 30009-7975
Phone (770) 663-8761
Other practice location 1
11685 Alpharetta Hwy
Suite 325
Roswell, GA 30076-4913
Phone (770) 663-8766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13543 | Other | GA | OCCUPATIONAL TAX CERTIFICATE, CITY OF ROSWELL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11810 Northfall Ln
Alpharetta, GA 30009
6225 Atlanta Hwy
Ste 117
Alpharetta, GA 30004
Phone (770) 569-1275
11780 Northfall Ln
Ste 304
Alpharetta, GA 30009
Phone (770) 663-8761
11810 Northfall Ln
Ste 1204
Alpharetta, GA 30009
107 Colony Park Dr
Cumming, GA 30040
1260 Upper Hembree Rd
Roswell, GA 30076
Phone (470) 289-2772
11685 Alpharetta Hwy
Ste 325
Roswell, GA 30076
Phone (770) 663-8766
11660 Alpharetta Hwy
Ste 650
Roswell, GA 30076
Phone (678) 710-0970
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Alpharetta, GA
- NPI 1275736993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665532800000",
"number": "1184858094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11810 NORTHFALL LN STE 1202",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300097975",
"telephone_number": "770-663-8761",
"fax_number": "770-663-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11810 NORTHFALL LN STE 1202",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300097975",
"telephone_number": "770-663-8761",
"fax_number": "770-663-8767"
}
],
"practiceLocations": [
{
"address_1": "11685 Alpharetta Hwy",
"address_2": "Suite 325",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300764913",
"country_code": "US",
"telephone_number": "770-663-8766",
"fax_number": "770-663-8767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "METRO NEPHROLOGY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-06",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "MADHU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-663-8766",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "13543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL TAX CERTIFICATE, CITY OF ROSWELL",
"identifier": "13543",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.