Individual provider Active NPI

Christopher Kolasa, MD

  • Nephrology Physician
  • Brunswick, GA
National Provider Identifier
1073680062
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
102416 Issued in GA
Practice address
3025 Shrine Rd Ste 450
Brunswick, GA 31520-4787
Phone
(912) 264-6133
Fax
(912) 267-1415
NPI assigned
Nov 29, 2006
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 102416 GA Primary

Addresses

Primary practice location

3025 Shrine Rd Ste 450
Brunswick, GA 31520-4787

Mailing address

PO Box 15238
Savannah, GA 31416-1938
Phone (912) 354-4813

Other practice location 1

111 Colonial Way Ste 2
Jesup, GA 31545-0132
Phone (912) 588-1919

Other practice location 2

2040 Dan Proctor Dr Ste 230
Saint Marys, GA 31558-3801
Phone (912) 264-6133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110608000599 NJ Practitioner - NephrologyPractitioner - Internal Medicine 4587841101
I20250115003796 GA Practitioner - Nephrology 4587841101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3025 Shrine Rd
Suite 450
Brunswick, GA 31520-4787
Phone (912) 264-6133

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.22 of 100Reported as individual
Quality
81.16
Improvement activities
40
Cost
73.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
102416GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshes Medical Diagnostic Clinic, PC Single Specialty Current Accepting new patients
Nephrology and Hypertension Medical Associates PC Single Specialty Current Accepting new patients
Christopher Kolasa MD PA Single Specialty CurrentSince Nov 29, 2010 Accepting new patients
Nephrology and Hypertension Medical Associates PC Single Specialty CurrentSince Jan 6, 2025 Accepting new patients
Nephrology and Hypertension Medical Associates PC Single Specialty CurrentSince Jan 6, 2025 Accepting new patients

Locations

3025 Shrine Rd
Ste 450
Brunswick, GA 31520
Phone (912) 264-4613

111 Colonial Way
Ste 2
Jesup, GA 31545
Phone (912) 588-1919

2040 Dan Proctor Dr
Ste 230
Saint Marys, GA 31558
Phone (912) 576-6391

1115 Lexington Ave
Savannah, GA 31404
Phone (912) 354-4813

6 Auer Ct
Ste C
East Brunswick, NJ 08816
Phone (732) 254-4200

Interoperability endpoints

  • Direct secure messaging: christopherkolasa@nhma.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1073680062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15238",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161938",
            "telephone_number": "912-354-4813",
            "fax_number": "912-650-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 450",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204787",
            "telephone_number": "912-264-6133",
            "fax_number": "912-267-1415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colonial Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315450132",
            "country_code": "US",
            "telephone_number": "912-588-1919",
            "fax_number": "912-588-1959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Dan Proctor Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "GA",
            "postal_code": "315583801",
            "country_code": "US",
            "telephone_number": "912-264-6133",
            "fax_number": "912-267-1415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLASA",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "102416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.