Carroll County Nephrology PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CARROLL COUNTY NEPHROLOGY PC

Practice address

157 Clinic Avenue
Suite 203
Carrollton, GA 30117

Phone

(770) 832-0429

Fax

(770) 838-9108

NPI assigned

Feb 12, 2007

Last updated

Jun 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel A Tate

Title

Office Manager

Phone

(770) 832-0429

Specialties & licenses 2

Addresses

Other names 1

• Carroll County Nephrology LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zaiyara Adorno Rivera, MD

  • Nephrology Physician
  • Carrollton, GA
  • NPI 1972985992

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Atiya Chachar, M.D

  • Nephrology Physician
  • Carrollton, GA
  • NPI 1174974398

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Kilsy A Cuello Pichardo, MD

  • Nephrology Physician
  • Carrollton, GA
  • NPI 1720407588

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Nihar Pinakin Jani, MD

  • Nephrology Physician
  • Carrollton, GA
  • NPI 1629418603

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Emily Tarpley Massey, NP

  • Acute Care Nurse Practitioner
  • Carrollton, GA
  • NPI 1588079248
  Medicare reassignment Care Compare group NPD
• Bryan Quinn, MD

  • Nephrology Physician
  • Carrollton, GA
  • NPI 1689887911

  AL

  Medicare reassignment Care Compare group NPD
• Bernard Gitau Muthoni, NP-C

  • Nurse Practitioner
  • Cartersville, GA
  • NPI 1770118598
  Medicare reassignment NPD
• Katherine S Nickless, RD LD

  • Registered Dietitian
  • Carrollton, GA
  • NPI 1245325554
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1558403113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CLINIC AVE STE 203",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174454",
            "telephone_number": "770-832-0429",
            "fax_number": "770-838-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CLINIC AVENUE",
            "address_2": "SUITE 203",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-832-0429",
            "fax_number": "770-838-9108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Redding Dr",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "301102283",
            "country_code": "US",
            "telephone_number": "770-832-0429",
            "fax_number": "770-838-9108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Permian Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301803226",
            "country_code": "US",
            "telephone_number": "770-832-0429",
            "fax_number": "770-838-9108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARROLL COUNTY NEPHROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-832-0429"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carroll County Nephrology LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jolie Montana Gail Carpenter, NP
• Cody Carr
• Carroll Chiropractic Center
• Carroll County Board of Health (Carroll County Health Department)
• Carroll County Nephrology LLC
• Carroll County Neurology (West Georgia Sleep Disorders and Neurology Associates)
• Carroll County Schools
• Carroll County Training Center
• Carroll Pathology Group, P.C.
• Rhonda Carroll

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.