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NORTH GEORGIA NEPHROLOGY CONSULTANTSLLC NPI 1275668394


NPI Information

NPI: 1275668394
Provider Name: NORTH GEORGIA NEPHROLOGY CONSULTANTS,LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 11D0996859

Address:
5105 JEFFERSON ROAD
SUITE B
ATHENS, GA
ZIP 30607
Phone: (706) 227-4075
Get Directions

NORTH GEORGIA NEPHROLOGY CONSULTANTS,LLC is a nephrology internal medicine in Athens, GA. The provider is 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. NORTH GEORGIA NEPHROLOGY CONSULTANTS,LLC NPI is 1275668394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5105 JEFFERSON ROAD
SUITE B
ATHENS, GA
ZIP 30607-720
Phone: (706) 227-4075
Fax: (706) 227-4086

The provider's authorized official is Saima Bashir .
The authorized official title is Office Manager and has the following contact phone number (706) 227-4075.

The CLIA number assigned to this NPI record is 11D0996859 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 4/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology050865GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G33639MEDICARE UPINGEORGIA
210035054OTHERGEORGIAAMERIGROUP
3460374361AOTHERGEORGIAGBHC
43100152OTHERGEORGIAUNITED HEALTH
552834554005OTHERGEORGIABCBS
6000935789FMEDICAIDGEORGIA
72917383OTHERGEORGIAAETNA HMO
8000935789DMEDICAIDGEORGIA
95628203OTHERGEORGIAAETNA PPO
10000935789AMEDICAIDGEORGIA
11GRP5128OTHERGEORGIAMEDICARE GROUP NUMBER
12000935789EMEDICAIDGEORGIA
13P00076801OTHERGEORGIAMEDICARE RAIL ROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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