Individual provider Active NPI

Rahim Kassamali, MD

  • Nephrology Physician
  • Gainesville, GA
National Provider Identifier
1932162641
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
103718 Issued in GA
Practice address
663 Lanier Park Dr.
Gainesville, GA 30501-2059
Phone
(678) 450-0202
Fax
(678) 450-0080
NPI assigned
Apr 11, 2006
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101240943 VA
Internal Medicine Physician 207R00000X 200301002 NC
Nephrology Physician 207RN0300X 31178 AL
Nephrology Physician 207RN0300X 103718 GA Primary

Addresses

Primary practice location

663 Lanier Park Dr.
Gainesville, GA 30501-2059

Mailing address

663 Lanier Park Dr.
Gainesville, GA 30501-2059
Phone (678) 450-0202

Other practice location 1

663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone (678) 450-0202

Other identifiers 1

IdentifierTypeStateIssuer
891355TMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111027000808 AL Practitioner - NephrologyPractitioner - Internal Medicine 2961398862 Reassigns benefits to 1 organization
I20250627001808 GA Practitioner - Nephrology 2961398862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1997
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)

663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone (678) 450-0202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200301002NCMDInternal Medicine Physician
31178ALMDNephrology Physician
103718GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nephrology, PC Internal Medicine CurrentSince Oct 1, 2011 Accepting new patients
Kidney Care Center of Georgia LLC Nephrology CurrentSince Jul 15, 2025 Accepting new patients
Charles Otis Boyette MD Past Accepting new patients

Locations (25 of 29)

48 Medical Park Dr E
Ste 151
Birmingham, AL 35235
Phone (205) 699-1632

6225 Atlanta Hwy
Ste 117
Alpharetta, GA 30004
Phone (770) 569-1275

1241 Friendship Rd
Braselton, GA 30517
Phone (770) 965-6056

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

5670 Old Winder Hwy
Ste 200
Braselton, GA 30517
Phone (404) 593-0090

1550 Buford Hwy
Ste 1E
Buford, GA 30518
Phone (404) 645-7150

2349 Sparta Way
Buford, GA 30519
Phone (770) 964-1190

101 Greenfield Dr
Ste 240
Cumming, GA 30040
Phone (470) 253-9739

1165 Sanders Rd
Cumming, GA 30041
Phone (210) 379-8553

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

3015 The Commons Dr
Cumming, GA 30041
Phone (770) 205-3289

3530 Rowe Ln
Cumming, GA 30041
Phone (770) 886-2489

495 Highway 400
Dahlonega, GA 30533
Phone (469) 757-1107

81 Northside Dawson Dr
Ste 315
Dawsonville, GA 30534
Phone (770) 601-9440

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

638 441 Historic Hwy N
Ste C
Demorest, GA 30535
Phone (706) 754-3022

735 441 Historic Hwy N
Demorest, GA 30535

3170 Peachtree Industrial Blvd
Ste 100
Duluth, GA 30097
Phone (770) 232-5219

1475 Jesse Jewell Pkwy NE
Gainesville, GA 30501

1492 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (678) 989-0645

1856 Thompson Bridge Rd
Ste 101
Gainesville, GA 30501
Phone (770) 534-6999

2545 Flintridge Rd
Ste 130
Gainesville, GA 30501
Phone (770) 536-7194

2565 Thompson Bridge Rd
Ste 104
Gainesville, GA 30501

663 Lanier Park Dr
Gainesville, GA 30501
Phone (678) 450-8841

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

Organizations & group practices 3

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 5

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1932162641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "663 Lanier Park Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012059",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSAMALI",
        "first_name": "RAHIM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-04-30",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101240943",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200301002",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "31178",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "103718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891355T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.