Sandersville Hypertension & Nephrology PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

050617 Issued in GA

Legal business name

SANDERSVILLE HYPERTENSION & NEPHROLOGY PC

Practice address

516 Sparta Rd
Sandersville, GA 31082-1859

Phone

(478) 552-1200

Fax

(478) 552-5600

NPI assigned

Nov 14, 2007

Last updated

Jan 18, 2013By 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. Linus Onyemaechi Ejim, M.D.NPI 1922091990

Title

President

Phone

(478) 552-1200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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.

• Linus Onyemaechi Ejim, M.D.

  • Nephrology Physician
  • Sandersville, GA
  • NPI 1922091990
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1063693463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SPARTA RD",
            "address_2": "P.O. BOX 761",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821859",
            "telephone_number": "478-552-1200",
            "fax_number": "478-552-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821859",
            "telephone_number": "478-552-1200",
            "fax_number": "478-552-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERSVILLE HYPERTENSION & NEPHROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "EJIM",
        "authorized_official_first_name": "LINUS",
        "authorized_official_middle_name": "ONYEMAECHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-552-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "050617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon A Roberts, MD
• Cynthia J. Roche, R.P.T.
• Sandersville Dialysis Clinic LLC
• Sandersville Drug Co., LLC (Sandersville Drug Co.)
• Sandersville Drug Co., LLC
• Sandersville Primary & Urgent Care, LLC
• Sandersville Speech and Swallowing LLC
• Sandersville Surgical (Rawl Southern Surgical LLC)
• Robert Hugh Sasser Jr., DDS
• SBF LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.