Organization Active NPI

Remote Renal Care LLC

  • Nephrology Physician
  • Grovetown, GA
National Provider Identifier
1891252250
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
REMOTE RENAL CARE LLC
Practice address
401 Insperon Dr
Grovetown, GA 30813-0607
Phone
(833) 543-6398
Fax
(586) 204-0125
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Sharica BrookinsNPI 1912264268
Title
Owner
Phone
(833) 543-6398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

401 Insperon Dr
Grovetown, GA 30813-0607

Mailing address

401 Insperon Dr
Grovetown, GA 30813-0607
Phone (833) 543-6398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190509002497 GA Part B Supplier - Clinic/Group Practice 5991048118 Receives reassigned benefits from 1 practitioner
Practice locations: Grovetown, GA

National Provider Directory

National Provider Directory

Locations

607 Ronald Reagan Dr
Unit 691
Evans, GA 30809
Phone (833) 543-6398

401 Insperon Dr
Grovetown, GA 30813
Phone (833) 543-6398

401 Insperon Dr
Ste 401
Grovetown, GA 30813

401 Insperon Dr
#401
Grovetown, GA 30813

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1891252250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 INSPERON DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308130607",
            "telephone_number": "833-543-6398",
            "fax_number": "586-204-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 INSPERON DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308130607",
            "telephone_number": "833-543-6398",
            "fax_number": "586-204-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMOTE RENAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "BROOKINS",
        "authorized_official_first_name": "SHARICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-543-6398"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.