Individual provider Active NPI

Meena J. Kavil, M.D.

  • Nephrology Physician
  • Lawrenceville, GA
National Provider Identifier
1295721124
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
042624 Issued in GA
Practice address
595 Hurricane Shoals Rd NW Ste 100
Lawrenceville, GA 30046
Phone
(404) 645-7150
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 042624 GA Primary

Addresses

Primary practice location

595 Hurricane Shoals Rd NW Ste 100
Lawrenceville, GA 30046

Mailing address

497 Winn Way
Suite a-210
Decatur, GA 30030-1712
Phone (404) 294-7033

Other practice location 1

497 Winn Way
Suite A-210
Decatur, GA 30030-1712
Phone (404) 294-7033

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091204000158 GA Practitioner - Internal MedicinePractitioner - Nephrology 4587703574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Morehouse School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Georgia Nephrology, LLCGroup PAC ID 4082606496, 29 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

7215 Industrial Neblvd
Covington, GA 30014-6329
Phone (770) 602-1118

Hospital & facility affiliations

  • FMC Tucker Dialysis facility, Tucker, GA, CCN 112563
  • FMC Dialysis Services Newton Dialysis facility, Covington, GA, CCN 112712
  • Fmcna Dialysis Services of Decatur Dialysis facility, Decatur, GA, CCN 112781
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Nephrology, LLC Nephrology CurrentSince Aug 24, 2009 Accepting new patients
Northwest Nephrology Clinic Past Accepting new patients

Locations

1368 Wellbrook Cir NE
Ste C
Conyers, GA 30012
Phone (770) 785-7195

7215 Industrial Blvd NE
Covington, GA 30014
Phone (770) 602-1118

497 Winn Way
Ste A210
Decatur, GA 30030
Phone (404) 294-7033

595 Hurricane Shoals Rd NW
Ste 100
Lawrenceville, GA 30046
Phone (404) 645-7150

Interoperability endpoints

  • Direct secure messaging: mkavil12424@direct.acumenmd.com
  • FHIR API: https://api.platform.athenahealth.com/16594/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1295721124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 WINN WAY",
            "address_2": "SUITE A-210",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301712",
            "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",
            "address_2": "Suite A-210",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301712",
            "country_code": "US",
            "telephone_number": "404-294-7033",
            "fax_number": "404-296-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAVIL",
        "first_name": "MEENA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "042624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.