Georgia Kidney & Hypertension Clinic – Nephrology Physician, NPI 1740706951

Georgia Kidney & Hypertension Clinic is a healthcare provider. based in Thomasville, Georgia. specializing in Nephrology Physician. The NPI Number for Georgia Kidney & Hypertension Clinic is 1740706951

Main info

Organization
Name
Georgia Kidney & Hypertension Clinic
NPI
1740706951
Phone
(229) 227-1595
Address
334 SMITH AVE
Authorized Official
DAVID KIM AUTHORIZED OFFICIAL MD
Enumeration Date
18 August 2017
Last Update Date
24 July 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness80
Years active:8State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Georgia Kidney & Hypertension Clinic

  • 334, Smith Avenue, McLoughlin Heights, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317925533

    Phone: (229) 227-1595

    Type: Location

  • East Ray Road, Courtyards at Cobblestone, Chandler, Maricopa County, Arizona, 85225, United States

    CHANDLER, AZ 852258720

    Phone: (855) 397-0197

    Fax: (800) 272-6512

    Type: Mailing

  • 334 SMITH AVE

    THOMASVILLE, GA 317925533

    Phone: (229) 227-1595

    Fax: (800) 272-6512

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (957 days ago).

Enrollment records

1

Earliest due date

2023-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20171026000708OClinic/Group PracticeGA2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31792)

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Reviews

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Frequently asked questions

What identifier follows Georgia Kidney & Hypertension Clinic across health systems?
The NPI 1740706951 uniquely identifies Georgia Kidney & Hypertension Clinic in U.S. healthcare data.
Is Georgia Kidney & Hypertension Clinic currently accepting referrals based on NPI status?
Registry metadata lists Georgia Kidney & Hypertension Clinic as active.
What services align with Georgia Kidney & Hypertension Clinic's listing?
Georgia Kidney & Hypertension Clinic's public classification highlights Nephrology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Georgia Kidney & Hypertension Clinic?
Georgia Kidney & Hypertension Clinic is associated with Thomasville, Georgia in the same public data insurers reference.
Can I export Georgia Kidney & Hypertension Clinic's record?
You can download the official NPPES record; we summarize key fields for readability.

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