Aegis Nephrology & Internal Medicine, LLC
Organization Active NPI Nephrology Physician · Warner Robins, GA
NPI 1043485352 · NPPES record last updated Nov 7, 2016
Key facts
- NPI
- 1043485352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 052234 (GA)
- Legal business name
- AEGIS NEPHROLOGY & INTERNAL MEDICINE, LLC
- Practice address
- 130 Hospital Dr
Warner Robins, GA 31088-4204 - Phone
- (478) 225-9983
- Fax
- (478) 225-9891
- NPI assigned
- Apr 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Navin Taneja, M.D.
- Title
- Owner/Physician
- Phone
- (478) 225-9983
Practitioners 1
-
Navin Taneja, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080717000122 | GA | Part B Supplier - Clinic/Group Practice | 9638242175 |
Receives reassigned benefits from 1 practitioner Practice locations: Perry, GA; Warner Robins, GA |
National Provider Directory
Locations
1118 Morningside Dr
Perry, GA 31069
130 Dr Parihar Dr
Warner Robins, GA 31088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 052234 | GA | |
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | 052234 | GA | |
| Nephrology Physician |
207RN0300X | 052234 | GA | Yes |
Addresses
Primary practice location
130 Hospital Dr
Warner Robins, GA 31088-4204
Mailing address
130 Hospital Dr
Warner Robins, GA 31088-4204
Phone (478) 225-9983
Other providers in Warner Robins, GA
- Advancecare Remote Health & Wellness LLC
- Advanced Medical Associates P C
- Advanced Neurology Specialist, LLC
- Advanced OB GYN Care of Warner Robins, LLC
- Advanced Wellness Care P.C.
- Eghosa Agbonghae
- Chandra Alexis Aguila
- Rafael Aguila
- Christian Aguilar
- Mueez Ahmed
All providers in Warner Robins, GA · Nephrology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.