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

North Georgia Kidney Specialists, LLC

Organization Nephrology Physician · NPI 1053416925

North Georgia Kidney Specialists, LLC is a Nephrology Physician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

880 Canton Rd NE Ste 400
Marietta, GA 30060-7283
Phone: (770) 528-9788
Fax: (770) 420-2229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036745 (GA)

Record details

NPI number1053416925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manolo Gallego — President/Physician · (770) 528-9788
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJuly 15, 2013
Mailing address880 Canton Rd Ne, Suite 400, Marietta, GA 30060-7283

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