KIDNEY WELLNESS CENTER – Nephrology Physician, NPI 1952276966

KIDNEY WELLNESS CENTER is a healthcare provider. based in Alpharetta, Georgia. specializing in Nephrology Physician. The NPI Number for KIDNEY WELLNESS CENTER is 1952276966

Main info

Organization
Name
KIDNEY WELLNESS CENTER
NPI
1952276966
Phone
(678) 373-8981
Address
5755 N POINT PKWY STE 267
Authorized Official
LACIE WEAVER CONTRACTING
Enumeration Date
8 October 2025
Last Update Date
3 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for KIDNEY WELLNESS CENTER

  • 5755 N POINT PKWY STE 267

    ALPHARETTA, GA 300221175

    Phone: (678) 373-8981

    Mailing address matches the actual address.

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: 2025-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20251220000713OClinic/Group PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 30022)

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Reviews

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Frequently asked questions

Is KIDNEY WELLNESS CENTER listed with a National Provider Identifier?
Yes — KIDNEY WELLNESS CENTER has NPI 1952276966 on file in the registry.
Is there an active status for KIDNEY WELLNESS CENTER?
For scheduling context, KIDNEY WELLNESS CENTER is shown as active in the registry.
What clinical focus is listed for KIDNEY WELLNESS CENTER?
At a glance, KIDNEY WELLNESS CENTER is tied to Nephrology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KIDNEY WELLNESS CENTER?
Travel planning: use Alpharetta, Georgia as the reference point for KIDNEY WELLNESS CENTER, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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