Active NPI
Kidney Care Clinic LLC
- Nephrology Physician
- Cumming, GA
National Provider Identifier
1376455451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- KIDNEY CARE CLINIC LLC
- Practice address
- 1505 Northside Blvd Ste 3400
Cumming, GA 30041-8223 - Phone
- (205) 552-9221
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khushleen Jaggi
- Title
- Owner
- Phone
- (205) 552-9221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NU | Primary |
Addresses
Primary practice location
1505 Northside Blvd Ste 3400
Cumming, GA 30041-8223
Mailing address
15555 NE 68TH CT
Redmond, WA 98052-4829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1376455451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15555 NE 68TH CT",
"city": "REDMOND",
"state": "WA",
"postal_code": "980524829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 NORTHSIDE BLVD STE 3400",
"city": "CUMMING",
"state": "GA",
"postal_code": "300418223",
"telephone_number": "205-552-9221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEY CARE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "JAGGI",
"authorized_official_first_name": "KHUSHLEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-552-9221"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.