Northwest Nephrology Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

028761 Issued in GA

Legal business name

NORTHWEST NEPHROLOGY CLINIC

Practice address

5255 Snapfinger Park Dr
Suite 110
Decatur, GA 30035-4084

Phone

(770) 981-2211

NPI assigned

Mar 20, 2007

Last updated

Mar 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew A Dixon, M.D.NPI 1841296514

Title

Physician

Phone

(770) 981-2211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Metro Atlanta Access Center LLC

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1982818951

  Member Of

  NPD member

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16594/brand/1/csg/1/fhir/r4

Practitioners 7

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.

• Arun Kumar, M.D

  • Nephrology Physician
  • Greensboro, GA
  • NPI 1225050057
  Medicare reassignment Care Compare group NPD
• Juan Luis Pimentel Jr., M.D.

  • Nephrology Physician
  • Greensboro, GA
  • NPI 1215923149
  Medicare reassignment Care Compare group NPD
• Aliya Saeed, M.D

  • Nephrology Physician
  • Decatur, GA
  • NPI 1588808067
  Medicare reassignment Care Compare group NPD
• Eliza Grace Harris, PA-C

  • Physician Assistant
  • Decatur, GA
  • NPI 1588555619
  Medicare reassignment Care Compare group
• Jenna A Nash, PA-C

  • Physician Assistant
  • Decatur, GA
  • NPI 1881435899
  Medicare reassignment Care Compare group
• Andrew Alexander Dixon, M.D.

  • Nephrology Physician
  • Decatur, GA
  • NPI 1841296514
  Authorized official Same address or phone
• Meena J. Kavil, M.D.

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1295721124
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1215052261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 SNAPFINGER PARK DR",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354084",
            "telephone_number": "770-981-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 SNAPFINGER PARK DR",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354084",
            "telephone_number": "770-981-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST NEPHROLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-981-2211",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "028761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Decatur Operating Company LLC (North Decatur Health and Rehabilitation Center)
• North Dekalb Orthopedics P.C.
• Northeast Heart PC
• Northside Nama Professional Services, LLC
• Northwest Diagnostic Imaging, Inc (Open MRI & Imaging of Dekalb, LLC)
• Robert R Norvel Jr., MD
• Barbara Lawana Norvell, D.P.M.
• Comeika Towanna Norwood-Sprinkle, RRT
• Nou You, LLC
• Nourished Young, LLC

• Specialist in Decatur, GA
• Providers in Decatur, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.

Verify at the official NPI Registry.