Kilsy A Cuello Pichardo, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

77453 Issued in GA

Practice address

157 Clinic Ave Ste 203
Carrollton, GA 30117-4454

Phone

(770) 832-0429

Fax

(770) 838-9108

NPI assigned

Apr 9, 2014

Last updated

Jun 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of Puerto Rico School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carroll County Nephrology PCGroup PAC ID 3476691510, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Medical Care Bremen Dialysis facility, Bremen, GA, CCN 112751
• Fresenius Medical Care Carroll County Dialysis facility, Carrollton, GA, CCN 112749
• Fmcna Villa Rica Dialysis facility, Villa Rica, GA, CCN 112772
• Fresenius Kidney Care West Georgia Dialysis facility, Carrollton, GA, CCN 852558
• Fresenius Medical Care Douglas County Dialysis facility, Douglasville, GA, CCN 112694
• Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
• Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015
• Higgins General Hospital Hospital, Bremen, GA, CCN 111320
• Tanner Medical Center-East Alabama Hospital, Wedowee, AL, CCN 011306

Merit-based Incentive Payment System (MIPS)

Final score

81.98 of 100Reported as group

Quality

70.51

Promoting interoperability

99

Improvement activities

20

Cost

72.98

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcuellopichardo16577@direct.acumenmd.com

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.

• Carroll County Nephrology PC

  • Nephrology Physician
  • Carrollton, GA
  • NPI 1558403113

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Carroll County Nephrology LLC

  • Nephrology Physician
  • Carrollton, GA
  • NPI 1285814988
  NPD

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

• Bio-Medical Applications of Georgia, Inc.

  dba Fresenius Medical Care Bremen

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bremen, GA
  • NPI 1417099821

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Georgia, Inc.

  dba Fresenius Kidney Care West Georgia

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Carrollton, GA
  • NPI 1669959888

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Georgia, Inc.

  dba Fresenius Kidney Care Carroll County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Carrollton, GA
  • NPI 1699817544

  Dialysis facility

  Care Compare affiliation Name & address match
• Douglas County Dialysis, LLC

  dba Fresenius Medical Care Douglas County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Douglasville, GA
  • NPI 1649382466

  Dialysis facility

  Care Compare affiliation Name & address match
• Tanner Medical Center, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Carrollton, GA
  • NPI 1801883780
  Care Compare affiliation
• TMC/Higgins General Hospital

  dba Tanner Health System

  • Critical Access Hospital
  • Bremen, GA
  • NPI 1194712083
  Care Compare affiliation
• TMC/Villa Rica Hospital, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Villa Rica, GA
  • NPI 1851388748
  Care Compare affiliation
• Tanner Medical Center Alabama Inc

  dba Tanner Medical Center East Alabama

  • Critical Access Hospital
  • Wedowee, AL
  • NPI 1912428301
  Care Compare affiliation

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1720407588",
    "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 AVE STE 203",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174454",
            "telephone_number": "770-832-0429",
            "fax_number": "770-838-9108"
        }
    ],
    "practiceLocations": [
        {
            "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"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "CUELLO PICHARDO",
        "first_name": "KILSY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "77453",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "77453",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "030553-R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003164765B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack Crews, M.D.
• Vivian Crim, LAPC
• CRNG,LLC (Dba West Georgia Cardiology)
• Laura Lee Croft, LPC
• Pebbless Crowder
• James Wesley Cullison, MD
• Elizabeth Gay Cullum, OT
• Pamela A Cumbie, FNP-BC
• Kim Cummings
• Fernando Sarmiento Custodio V

• 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; Order and Referring.
• 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.