Dothan Hypertension Nephrology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES

Practice address

207 Haven Dr
Dothan, AL 36301-2919

Phone

(334) 793-3319

Fax

(334) 793-2291

NPI assigned

Sep 26, 2006

Last updated

Mar 8, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ganjur Prakash, M.D.

Title

Owner

Phone

(334) 793-3319

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nikki Ilona Broussard, CRNP

  • Nephrology Physician
  • Dothan, AL
  • NPI 1043034580
  Medicare reassignment Care Compare group NPD
• Nowoghomwenma Charles Ibie, MD

  • Nephrology Physician
  • Dothan, AL
  • NPI 1073742953
  Medicare reassignment Care Compare group NPD
• Ravindranath V. Kantamneni, M.D.

  • Nephrology Physician
  • Dothan, AL
  • NPI 1053361576
  Medicare reassignment Care Compare group NPD
• Jennifer Smith Kirk, CRNP

  • Family Nurse Practitioner
  • Dothan, AL
  • NPI 1033363189
  Medicare reassignment Care Compare group NPD
• Elizabeth Ann McFarland, CRNP

  • Family Nurse Practitioner
  • Dothan, AL
  • NPI 1013551811
  Medicare reassignment Care Compare group NPD
• Venkat R Nimmagadda, M.D.

  • Nephrology Physician
  • Dothan, AL
  • NPI 1043267917
  Medicare reassignment Care Compare group NPD
• Olawale Mayokun Osunsanya, M.D.

  • Nephrology Physician
  • Dothan, AL
  • NPI 1013998491
  Medicare reassignment Care Compare group NPD
• Takiesha Mashelle Taylor, FNP-C

  • Nephrology Physician
  • Dothan, AL
  • NPI 1760364244
  Medicare reassignment Care Compare group NPD
• Gregory Matthew Wells, M.D.

  • Nephrology Physician
  • Dothan, AL
  • NPI 1265494181
  Medicare reassignment Care Compare group NPD
• Stefanie L. Kincey, CRNP

  • Nurse Practitioner
  • Dothan, AL
  • NPI 1033517719
  Medicare reassignment Care Compare group
• Kaylan Sealy

  • Family Nurse Practitioner
  • Dothan, AL
  • NPI 1487506390
  Medicare reassignment Care Compare group
• Ganjur H Guru-Prakash, M.D.

  • Nephrology Physician
  • Dothan, AL
  • NPI 1386730059
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1013018407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HAVEN DRIVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-793-3319",
            "fax_number": "334-793-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HAVEN DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012919",
            "telephone_number": "334-793-3319",
            "fax_number": "334-793-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "GANJUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-793-3319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dothan Hearing Aid Center, Inc.
• Dothan Hematology & Oncology PC
• Dothan Hematology & Oncology PC
• Dothan Houston County Mental Retardation Board, Inc. (Vaughn Blumberg Services)
• Dothan Houston County Mr Board Inc. (Vaughn Blumberg Services)
• Dothan Internal Medicine
• Dothan Internal Medicine, LLC
• Dothan Massage School
• Dothan Medical Associates, P.C.
• Dothan Medical Associates, P.C.

• Specialist in Dothan, AL
• Providers in Dothan, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.