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 provides Nephrology Physician services 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 Not confirmed with CMS for 13 years — call before visiting
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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