Fabian Andres Altamirano Donoso, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

111175 Issued in GA

Practice address

619 S 8TH St Ste 100
Griffin, GA 30224-4260

Phone

(678) 248-2899

Fax

(770) 233-4824

NPI assigned

Jun 1, 2021

Last updated

Aug 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Peach State Nephrology

  • Nephrology Physician
  • Griffin, GA
  • NPI 1679773774
  NPD

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1427624337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244260",
            "telephone_number": "678-248-2899",
            "fax_number": "770-233-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S 8TH ST STE 100",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244260",
            "telephone_number": "678-248-2899",
            "fax_number": "770-233-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMIRANO DONOSO",
        "first_name": "FABIAN",
        "middle_name": "ANDRES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "111175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allred Dental Group LLC (Allred Family Dentistry)
• Allred Dentistry Griffin (Allred Dentistry)
• Allred Family Dentistry
• Marc Brandon Allred, DMD
• Robert Benjamin Allred, DMD, M.S.
• Amedisys Northwest, L.L.C. (Amedisys Home Health of Griffin)
• Matthew A Amin, MD
• Cyril Anara, M.D
• Chanda R Anderson, MS, LPC, NCC
• Rynda Kay Andrew, B.C -H.I.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.