Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carroll County Nephrology PC

Organization Internal Medicine Physician · NPI 1558403113

Carroll County Nephrology PC is an Internal Medicine Physician in Carrollton, Georgia. Works from 3 locations. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

157 Clinic Ave Ste 203
Carrollton, GA 30117
Phone: (770) 832-0429
Fax: (770) 838-9108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 108 Redding Dr, Bremen, GA 30110-2283 — (770) 832-0429
  • 403 Permian Way Ste B, Villa Rica, GA 30180-3226 — (770) 832-0429

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1558403113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachel Tate — Office Manager · (770) 832-0429
Other names Carroll County Nephrology Llc
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address157 Clinic Ave Ste 203, Carrollton, GA 30117-4454

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