NPI age
17 years
Enumerated 2008-07-01
● Active Type 2 · Organization
The Kidney Clinic
The Kidney Clinic is 1 of 196 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
5
4 secondary on file
Status
Active
No deactivations on record
Authorized official
Abdalla
Physician
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
How this organization compares
Across 196 active clinic/center providers in Georgia.
NPI age
17 years
↑ 4 yr above median
Practice locations
5
4 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-07Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2386 Clower St Ste C105
Snellville, GA 300786107
Mailing address
2386 Clower St, Suite C-105
Snellville, GA 300786134
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
3370 Sugarloaf Pkwy Ste A1
Lawrenceville, GA 300445491
Location 3
4805 Lawrenceville Hwy Nw Ste 320
Lilburn, GA 300473800
Location 4
10132 Carlin Drive
Covington, GA 300143651
Location 5
1501 Milstead Rd Ne Ste 150
Conyers, GA 300123857
Authorized official
Mazen A Abdalla, MD
Physician
📞 6783440334
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Mazen Abdalla, M.D. Internal Medicine NPI 1467420893
- Tabria Colston, FNP-C Nurse Practitioner NPI 1417561002
- Divakar Jammalamadaka, MD Internal Medicine NPI 1265699920
- Shashank Kailash, MD Internal Medicine NPI 1013441468
- Abhinandan Reddy Pakanati, M.D Internal Medicine NPI 1710256912
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1467420893 | NPI FOR MAZEN ABDALLA,MD |
| 05 (GA) | 00612752A |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address. Plus 4 secondary practice locations.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.