Gwinnett Nephrology LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

GWINNETT NEPHROLOGY LLC

Practice address

1567 Janmar Rd Ste 100
Snellville, GA 30078-0308

Phone

(470) 310-3179

NPI assigned

Aug 20, 2019

Organization subpart

No

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

Authorized official

Name

Jithendranath Reddy Palacherla, MD

Title

MD/Owner

Phone

(470) 310-3179

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20244/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1053968511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 JANMAR RD STE 100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300780308",
            "telephone_number": "470-310-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 JANMAR RD STE 100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300780308",
            "telephone_number": "470-310-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT NEPHROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "PALACHERLA",
        "authorized_official_first_name": "JITHENDRANATH",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "470-310-3179",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwinnett County Health Dept
• Gwinnett Dermatology PC D/B/a Georgia Dermatology Partners
• Gwinnett Family Medical Care
• Gwinnett Gynecology Assoc 2 LLC
• Gwinnett Gynecology Associates, PC
• Gwinnett OB GYN Assoc. 2 LLC
• Gwinnett OB GYN Associates of Georgia II, LLC
• Gwinnett OB-GYN Associates, P.C..
• Gwinnett OB/GYN Associates of Georgia, LLC
• Gwinnett Orthopedics PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.