Individual provider Active NPI

Ryan J Altenburg, D.O.

  • Nephrology Physician
  • Augusta, GA
National Provider Identifier
1073740643
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
76936 Issued in GA
Practice address
701 Greene St Ste 200
Augusta, GA 30901-2385
Phone
(706) 722-6900
Fax
(706) 722-5118
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates PC 19 clinicians

Practice addresses (Care Compare)

10263 Atomic Rd
North Augusta, SC 29841-4484
Phone (803) 279-3722

701 Greene St
Suite 200
Augusta, GA 30901-2385
Phone (706) 722-6900

Hospital & facility affiliations

  • Waynesboro Dialysis Dialysis facility, Waynesboro, GA, CCN 112588
  • Hephzibah Dialysis Clinic Dialysis facility, Hephzibah, GA, CCN 112874
  • FMC of Augusta Inc Dialysis facility, Augusta, GA, CCN 112501
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • Burke Medical Center Hospital, Waynesboro, GA, CCN 110113

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, 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
I20180904000363 SC Practitioner - Nephrology 2567609498 Reassigns benefits to 1 organization
I20181017001142 GA Practitioner - Nephrology 2567609498 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC Nephrology CurrentSince Aug 1, 2018 Accepting new patients
Augusta Renal Physicians, P.C. Nephrology PastSince Jul 15, 2020 Accepting new patients

Locations

1355 Independence Dr
Augusta, GA 30901
Phone (706) 724-7746

1537 Walton Way
Augusta, GA 30904
Phone (706) 721-1200

701 Greene St
Ste 200
Augusta, GA 30901
Phone (706) 722-6900

820 Saint Sebastian Way
Ste 8A
Augusta, GA 30901
Phone (706) 722-6900

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

3660 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 210-8884

1109 Medical Center Dr
Ste 5
Augusta, GA 30909
Phone (706) 863-6637

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1109 Medical Center Dr
Augusta, GA 30909
Phone (706) 854-3333

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

462 Mount Pleasant Rd
Thomson, GA 30824
Phone (706) 595-9950

163 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4668

10263 Atomic Rd
North Augusta, SC 29841
Phone (706) 722-0186

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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 76936 GA Primary

Addresses

Primary practice location

701 Greene St Ste 200
Augusta, GA 30901-2385

Mailing address

701 Greene St Ste 200
Augusta, GA 30901-2385
Phone (706) 722-6900

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1073740643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GREENE ST STE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012385",
            "telephone_number": "706-722-6900",
            "fax_number": "706-722-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GREENE ST STE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012385",
            "telephone_number": "706-722-6900",
            "fax_number": "706-722-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTENBURG",
        "first_name": "RYAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "76936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.