Kathryn Lynnette Elmore, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

055942 Issued in GA

Practice address

595 Hurricane Shoals Rd NW Ste 100
Lawrenceville, GA 30046

Phone

(404) 645-7150

NPI assigned

Oct 3, 2006

Last updated

May 31, 2018By the provider in NPPES

Sex

Female

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 1

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

Nephrology

Education

Meharry Medical College School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Nephrology, LLCGroup PAC ID 4082606496, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Medical Care Conyers Dialysis facility, Conyers, GA, CCN 112599
• FMC Dialysis Services Snapfinger Dialysis facility, Decatur, GA, CCN 112658
• Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
• Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
• Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
• Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelmore12404@direct.acumenmd.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 Nephrology, LLC

  • Nephrology Physician
  • Decatur, GA
  • NPI 1063422723
  Medicare reassignment Care Compare group NPD

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

• Bio-Medical Applications of Georgia, Inc.

  dba FMC Dialysis Services Snapfinger

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Decatur, GA
  • NPI 1164534970

  Dialysis facility

  Care Compare affiliation Name & address match
• Fresenius Medical Care Honey Creek Dialysis, LLC

  dba Fresenius Medical Care Conyers

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Conyers, GA
  • NPI 1972857423

  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
• Dekalb Medical Center, Inc.

  dba Dekalb Medical Center at Hillandale

  • General Acute Care Hospital
  • Lithonia, GA
  • NPI 1962403865
  Care Compare affiliation
• Piedmont Newton Hospital, Inc.

  dba Newton Medical Center

  • General Acute Care Hospital
  • Covington, GA
  • NPI 1760498588
  Care Compare affiliation
• Piedmont Rockdale Hospital Inc.

  • General Acute Care Hospital
  • Conyers, GA
  • NPI 1306355680
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1245325547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 WINN WAY STE A210",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "404-294-7033",
            "fax_number": "404-296-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 HURRICANE SHOALS RD NW STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "404-645-7150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "497 Winn Way Ste A210",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "30030",
            "country_code": "US",
            "telephone_number": "404-294-7033",
            "fax_number": "404-296-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "KATHRYN",
        "middle_name": "LYNNETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "055942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367388655A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri M. Ellis, MS CCC-SLP
• Parker Ellison, BCBA
• Tamicia Destiny Ellison
• Nonah Marie Elliston, PHD PSYCHOLOGY
• Sarah Elmer, RD, LD
• Terry H Elrod, DMD
• James Kevin Elsey, M.D.
• Helena D Elswick
• Elsynergy Incorporated
• Herbert Eluma

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.