Healthcare Provider Details

I. General information

NPI: 1306077532
Provider Name (Legal Business Name): PIEDMONT NEPHROLOGY AND INTERNAL MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2009
Last Update Date: 09/09/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 PEACHTREE RD NE
ATLANTA GA
30309-1613
US

IV. Provider business mailing address

1860 PEACHTREE RD NE
ATLANTA GA
30309-1613
US

V. Phone/Fax

Practice location:
  • Phone: 404-355-7375
  • Fax: 404-350-9781
Mailing address:
  • Phone: 404-355-7375
  • Fax: 404-350-9781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: AKILAH SOLOMON
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 404-355-7375