P Praxis·MD
● Active Type 2 · Organization

Kidney Center Of Central Georgia, Llc

Internal Medicine·MacOn, GA· NPI 1962708891 · Enumerated 2011 · 15 years on NPI
Kidney Center Of Central Georgia, Llc is 1 of 562 internal medicine organizations in Georgia.
NPI age
15 years
Enumerated 2011-02-10
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tisdale
Practice Manager
Last NPPES update
2026-02-11
Source: monthly bulk 2026-05

How this organization compares

Across 562 active internal medicine providers in Georgia.

NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-02Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
657 Hemlock St Ste 200
MacOn, GA 312018324
📞 4782547353fax 4782547350
Mailing address
657 Hemlock St Ste 200
MacOn, GA 312018324
📞 4784613291fax 4782547353

Authorized official

Rachael Denise Tisdale
Practice Manager
📞 4782547353

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Internal Medicine Primary
    An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
    taxonomy 207RN0300X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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