Juan Luis Pimentel Jr., M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

031547 Issued in GA

Practice address

1000 Cowles Clinic Way Ste Cy-300
Greensboro, GA 30642

Phone

(706) 410-2111

NPI assigned

Sep 26, 2005

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Nephrology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Kidney CareGroup PAC ID 4587101274, 2 clinicians

Northwest Nephrology ClinicGroup PAC ID 2961498779, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Snapfinger Dialysis Dialysis facility, Decatur, GA, CCN 112646
• DaVita Turner Hill Dialysis Dialysis facility, Lithonia, GA, CCN 112866
• DaVita Eastlake Dialysis Dialysis facility, Decatur, GA, CCN 112553
• Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

87.78

Promoting interoperability

99

Improvement activities

40

Cost

85.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16594/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: juan.pimentel@nwnephrology.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Kidney Care

  • Clinic/Center
  • Greensboro, GA
  • NPI 1114768132
  Medicare reassignment Care Compare group NPD
• Northwest Nephrology Clinic

  • Specialist
  • Decatur, GA
  • NPI 1215052261
  Medicare reassignment Care Compare group NPD
• Dodge County Board of Health

  dba Dodge County Health Department

  • Public Health or Welfare Agency
  • Eastman, GA
  • NPI 1316015407
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dva Healthcare Renal Care Inc

  dba Eastlake Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Decatur, GA
  • NPI 1447229422

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  dba Turner Hill Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lithonia, GA
  • NPI 1902142391

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  dba Snapfinger Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Decatur, GA
  • NPI 1962676155

  Dialysis facility

  Care Compare affiliation Name & address match
• Dekalb Medical Center, Inc.

  dba Emory Decatur Hospital

  • General Acute Care Hospital
  • Decatur, GA
  • NPI 1093716979
  Care Compare affiliation

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1215923149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 COWLES CLINIC WAY STE CY300",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306425285",
            "telephone_number": "706-410-2111",
            "fax_number": "770-981-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COWLES CLINIC WAY STE CY-300",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "30642",
            "telephone_number": "706-410-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 Snapfinger Park Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300354084",
            "country_code": "US",
            "telephone_number": "770-981-2211",
            "fax_number": "770-981-0208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "JUAN",
        "middle_name": "LUIS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "031547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000702281G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "390006879",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Greensboro, GA
• Providers in Greensboro, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.