Individual provider Active NPI

Abhinandan Reddy Pakanati, M.D

  • Nephrology Physician
  • Snellville, GA
National Provider Identifier
1710256912
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
79362 Issued in GA
Practice address
2386 Clower St Ste C105
Snellville, GA 30078-6107
Phone
(678) 344-0334
Fax
(678) 344-0343
NPI assigned
Dec 19, 2011
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 79362 GA Primary

Addresses

Primary practice location

2386 Clower St Ste C105
Snellville, GA 30078-6107

Mailing address

2386 Clower St Ste C105
Snellville, GA 30078-6107
Phone (678) 344-0334

Other practice location 1

2399 Wall St SE
Conyers, GA 30013-2187
Phone (678) 344-0334

Other practice location 2

4555 Atlanta Hwy
Loganville, GA 30052-2646
Phone (678) 344-0334

Other practice location 3

4805 Lawrenceville Hwy NW Ste 320
Lilburn, GA 30047-3800
Phone (678) 344-0334

Other practice location 4

1501 Milstead Rd NE Ste 150
Conyers, GA 30012-3857
Phone (678) 344-0334

Other practice location 5

3370 Sugarloaf Pkwy Ste A1
Lawrenceville, GA 30044-5491
Phone (678) 344-0334

Other practice location 6

10132 Carlin Drive
Covington, GA 30014
Phone (678) 344-0334

Other identifiers 1

IdentifierTypeStateIssuer
003218176AMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200124002158 GA Practitioner - Nephrology 4587971734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Kidney ClinicGroup PAC ID 0749353225, 4 clinicians

Practice addresses (Care Compare)

2386 Clower St
Suite C105
Snellville, GA 30078-6107
Phone (678) 344-0334

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Kidney Clinic Nephrology CurrentSince Nov 12, 2019 Accepting new patients
Dsi Snellville LLC PastSince Oct 1, 2019 Accepting new patients

Locations

1501 Milstead Rd NE
Ste 150
Conyers, GA 30012
Phone (678) 344-0334

3370 Sugarloaf Pkwy
Ste A1
Lawrenceville, GA 30044
Phone (678) 344-0334

4805 Lawrenceville Hwy NW
Ste 320
Lilburn, GA 30047
Phone (678) 344-0334

2386 Clower St
Ste C105
Snellville, GA 30078
Phone (678) 344-0334

Interoperability endpoints

  • Direct secure messaging: abhinandanreddy.pakanati@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1710256912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST STE C105",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786107",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST STE C105",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786107",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2399 Wall St SE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300132187",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4555 Atlanta Hwy",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300522646",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4805 Lawrenceville Hwy NW Ste 320",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300473800",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Milstead Rd NE Ste 150",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123857",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3370 Sugarloaf Pkwy Ste A1",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300445491",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10132 Carlin Drive",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "30014",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAKANATI",
        "first_name": "ABHINANDAN REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "79362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003218176A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.