ATEKHA NEPHROLOGY CLINIC NPI 1285767434

NPI Information

  • NPI: 1285767434
  • Provider Name: ATEKHA NEPHROLOGY CLINIC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 11D1099648
  • Address: 1030 BERMUDA RUN
    STATESBORO, GA
    ZIP 30458
  • Phone: (912) 764-8396

Map and Directions

Get Directions

NPI Details

ATEKHA NEPHROLOGY CLINIC is a nephrology internal medicine in Statesboro, 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. ATEKHA NEPHROLOGY CLINIC NPI is 1285767434. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1030 BERMUDA RUN
STATESBORO, GA
ZIP 30458-858
Phone: (912) 764-8396
Fax: (912) 764-7188

The provider's authorized official is Courage A Atekha .
The authorized official title is Physician and has the following contact phone number (912) 764-8396.

The CLIA number assigned to this NPI record is 11D1099648 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 2/9/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology049266GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000933413MMEDICAIDGEORGIA
2000933413KMEDICAIDGEORGIA
3H33326MEDICARE UPIN
439BDCLG GRP7175MEDICARE ID-TYPE UNSPECIFIEDPROVIDER ID GROUP ID
5000933413OMEDICAIDGEORGIA
6000933413PMEDICAIDGEORGIA
7000933413NMEDICAIDGEORGIA
8000933413LMEDICAIDGEORGIA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI