Jolina Pamela C Santos, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

069630 Issued in GA

Practice address

604A S 8TH St
Griffin, GA 30224-4214

Phone

(678) 248-2899

Fax

(770) 233-4824

NPI assigned

Sep 8, 2011

Last updated

Sep 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peach State NephrologyGroup PAC ID 7315021029, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Usrc Griffin Dialysis facility, Griffin, GA, CCN 112865
• Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031
• Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIJHAA/Endpoint/DIJHAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peach State Nephrology

  • Nephrology Physician
  • Griffin, GA
  • NPI 1679773774
  Medicare reassignment Care Compare group NPD
• North Georgia Neprology Consultants LLC

  • Nephrology Physician
  • Athens, GA
  • NPI 1275668394
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Renal Carepartners of Griffin LLC

  dba U.S. Renal Care Griffin Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Griffin, GA
  • NPI 1629322557

  Dialysis facility

  Care Compare affiliation Name & address match
• Piedmont Henry Hospital, Inc.

  • General Acute Care Hospital
  • Stockbridge, GA
  • NPI 1225034333
  Care Compare affiliation
• Wellstar Spalding Regional Hospital, Inc

  dba WellStar Spalding Regional Hospital

  • General Acute Care Hospital
  • Griffin, GA
  • NPI 1972535318
  Care Compare affiliation

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1033490743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604A S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244214",
            "telephone_number": "678-248-2899",
            "fax_number": "770-233-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604A S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244214",
            "telephone_number": "678-248-2899",
            "fax_number": "770-233-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JOLINA PAMELA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "069630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133683A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5206370",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omobosola Omoronike Salisu, MD
• Denise Dale Sampler, RPH
• Taralyn Rae Sams, RN
• Arushi Sangwan, MBBS
• Doris Marie Santiago, MA
• Sarae Laki Inv
• SBZ Services Unlimited
• Shannon Celeste Scarborough
• Gary Edward Schofield Jr., ATC, CSCS
• Stuart Emory Schroeter, D.M.D.

• Nephrology Physician in Griffin, GA
• Providers in Griffin, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.