Organization Active NPI

Metro Nephrology, Inc

  • Nephrology Physician
  • Alpharetta, GA
National Provider Identifier
1184858094
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13543 Issued in GA
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

Updated by the provider on Oct 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Madhu Reddy, MDNPI 1275736993
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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
13543OtherGAOCCUPATIONAL TAX CERTIFICATE, CITY OF ROSWELL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090812000624 GA Part B Supplier - Clinic/Group Practice 4183778046 Receives reassigned benefits from 2 practitioners
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.