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

Georgia Kidney Clinic LLC

Organization Nephrology Physician · NPI 1417664616

Georgia Kidney Clinic LLC is a Nephrology Physician in Buford, Georgia. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3382 Grace Farm Ln
Buford, GA 30519
Phone: (404) 731-6033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Taxonomy 261QE0700X

Record details

NPI number1417664616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Riyadh Al-Rubaye — Owner · (047) 316-0334
NPI enumeratedOctober 28, 2022
Last updated in NPPESOctober 28, 2022
Certification dateOctober 24, 2022
Mailing address2725 Hamilton Mill Rd Ste 500, Buford, GA 30519-6010

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