Kidney Care Center Gwinnett LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY CARE CENTER GWINNETT LLC

Practice address

601A Professional Dr Ste 235
Lawrenceville, GA 30046-7697

Phone

(470) 292-3957

Fax

(470) 292-3683

NPI assigned

May 16, 2019

Organization subpart

No

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

Authorized official

Name

Morufu Olatunji Alausa, MDNPI 1730135955

Title

Chief Medical Director

Phone

(815) 741-6830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kunal B Buch, M.D.

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1124373196
  Medicare reassignment Care Compare group NPD
• Ivan Claudio-Gonzalez

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1235589730
  Medicare reassignment Care Compare group NPD
• Ebenezer Adeboye Dawodu, MD

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1962990648
  Medicare reassignment Care Compare group NPD
• Junaid Nasir, M.D.

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1972850055
  Medicare reassignment Care Compare group NPD
• Morufu Olatunji Alausa, M.D

  • Nephrology Physician
  • Joliet, IL
  • NPI 1730135955
  NPD (past) Authorized official

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1487210316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-741-6830",
            "fax_number": "815-941-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601A PROFESSIONAL DR STE 235",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467697",
            "telephone_number": "470-292-3957",
            "fax_number": "470-292-3683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3268 Greenbriar Pkwy SW Ste B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303312604",
            "country_code": "US",
            "telephone_number": "470-292-3957",
            "fax_number": "470-292-3683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3660 Flat Shoals Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300341637",
            "country_code": "US",
            "telephone_number": "678-935-6090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDNEY CARE CENTER GWINNETT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "ALAUSA",
        "authorized_official_first_name": "MORUFU",
        "authorized_official_middle_name": "OLATUNJI",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-741-6830",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saima Khan, M.D.
• Sofia Naz-Orakzai Khan, M.D.
• Anita Singh Khichi, MD
• Thai Thanh Khuong, DPT
• Jenear Wimbley Kidd
• Kidney Hypertension Clinic, PC
• Kidney Specialists of Georgia PC
• Kids Choice Pediatrics,LLC
• Kids Club ABA Ga LLC
• Kids Talk Therapy

• 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 Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.