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NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC NPI 1285674515


NPI Information

NPI: 1285674515
Provider Name: NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC

Doing Business As: NEBRASKA KIDNEY CARE

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
307 N 46TH ST
LINCOLN, NE
ZIP 68503
Phone: (402) 466-8259
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NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC is a nephrology internal medicine in Lincoln, NE. 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. NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC NPI is 1285674515. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nebraska Kidney Care.

The provider's business location address is:

307 N 46TH ST
LINCOLN, NE
ZIP 68503-714
Phone: (402) 466-8259
Fax: (866) 891-4864

The provider's authorized official is Deron Frank .
The authorized official title is General Manger/vice President and has the following contact phone number (310) 536-2402.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 1/7/2013.


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
1207R00000XInternal MedicineNo
2207RN0300XInternal MedicineNephrologyYes

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
1099546MEDICARE PINNEBRASKA
210025093700MEDICAIDNEBRASKA

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: 4/28/2024

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