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

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.

Title

Physician

Phone

(770) 981-2211

Specialties & licenses 1

Addresses

Other identifiers 5

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 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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
• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000702281G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103863411B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300030041B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103863411A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000441306E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Decatur Operating Company LLC
• North Dekalb Orthopedics P.C.
• Northeast Heart PC
• Northside Nama Professional Services, LLC
• Northwest Diagnostic Imaging, Inc
• 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.