Khaled Nass, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

43717 Issued in GA

Practice address

663 Lanier Park Dr
Gainesville, GA 30501-2059

Phone

(678) 450-0202

Fax

(678) 450-0080

NPI assigned

May 24, 2005

Reactivated

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

NephrologyAlso: Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kidney Care Center of Georgia LLCGroup PAC ID 9638200819, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Duluth Dialysis Dialysis facility, Duluth, GA, CCN 852551
• FMC - RCG Gainesville Dialysis facility, Gainesville, GA, CCN 112634
• DaVita Medlock Bridge Dialysis Dialysis facility, Duluth, GA, CCN 112778
• Fresenius Kidney Care North Forsyth Dialysis facility, Cumming, GA, CCN 852563
• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
• Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230
• Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 34)

Interoperability endpoints

• Direct secure messaging: knass16887@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 and National Provider Directory roles.

• Kidney Care Center of Georgia LLC

  • Nephrology Physician
  • Gainesville, GA
  • NPI 1588981187
  Medicare reassignment Care Compare group NPD Authorized official
• Northeast Georgia Diagnostic Clinic LLC

  • Multi-Specialty Clinic/Center
  • Gainesville, GA
  • NPI 1215976634
  NPD
• Fresenius Medical Care Kidney Healthcare, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Demorest, GA
  • NPI 1144490889
  NPD (past)

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

• Fresenius Medical Care North Forsyth, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cumming, GA
  • NPI 1598231177

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Care Group Gainesville East, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gainesville, GA
  • NPI 1386756104

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Duluth, GA
  • NPI 1386737112

  Dialysis facility

  Care Compare affiliation Name & address match
• Vancile Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Duluth, GA
  • NPI 1124528831

  Dialysis facility

  Care Compare affiliation Name & address match
• Ehca Johns Creek, LLC

  • General Acute Care Hospital
  • Johns Creek, GA
  • NPI 1679632137
  Care Compare affiliation
• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1861495830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740209",
            "address_2": "DEPARTMENT 40233",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740209",
            "telephone_number": "678-450-0202",
            "fax_number": "678-450-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "678-450-0202",
            "fax_number": "678-450-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 River Pl Ste 140",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175603",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 Northside Blvd Ste 3800",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300418247",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4035 Johns Creek Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241213",
            "country_code": "US",
            "telephone_number": "978-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "638 Hwy 441",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "30535",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASS",
        "first_name": "KHALED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-01-17",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "43717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00839198",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Charles Henry Nash III, MD
• Sherrie Vaughn Nash, RN, BSN
• National Pain Physicians
• National Vision, Inc.
• Usha G Nayak, MD,ABSM
• Jeremy Lee Naylor, DO, MPH
• Kedric Naylor

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.