Kidney Center of North Georgia, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

KIDNEY CENTER OF NORTH GEORGIA, LLC

Practice address

102 Erlanger South Dr
Ringgold, GA 30736-3181

Phone

(706) 820-6605

Fax

(706) 820-6639

NPI assigned

Aug 16, 2011

Last updated

Jan 17, 2014By 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

Dr. Nathan Chamberlain, M.D.NPI 1134126246

Title

Administrator

Phone

(423) 486-9510

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Nathan E Chamberlain, M.D.

  • Nephrology Physician
  • Chattanooga, TN
  • NPI 1134126246
  NPD (past) Authorized official

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1669751020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113729",
            "telephone_number": "423-486-9510",
            "fax_number": "423-486-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ERLANGER SOUTH DR",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307363181",
            "telephone_number": "706-820-6605",
            "fax_number": "706-820-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CENTER OF NORTH GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-486-9510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommie Kellogg
• John W Kelly
• Cassondre Kennedy, B.A.
• Steven Clark Kennedy, MD
• Caleb Ketelsen, DC
• Bomi Kim
• King Chiropractic Clinic PC
• Trenekia King
• Shawn Konwick, PHARM.D.
• Magdalena U Kowalski, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ringgold, GA
• Providers in Ringgold, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.