Nephrology Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

048905 Issued in GA

Legal business name

NEPHROLOGY INC

Practice address

1425 Highway 34 E
Newnan, GA 30265-1323

Phone

(770) 304-3724

Fax

(770) 304-3726

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Rachel Givens

Title

Authorized Official

Phone

(770) 304-3724

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kidney Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kidney Nutrition Specialist LLC

  • Registered Dietitian
  • Newnan, GA
  • NPI 1316564909

  O20200804001543

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Kidney Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kidney Nutrition Specialist LLC

  • Registered Dietitian
  • Newnan, GA
  • NPI 1316564909
  NPD tax ID

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Nra-Hogansville, Georgia, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hogansville, GA
  • NPI 1497703078

  Member Of

  NPD member
• Nra-Palmetto, Georgia, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Palmetto, GA
  • NPI 1760681506

  Member Of

  NPD member

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sahil Garg, M.D.

  • Nephrology Physician
  • Newnan, GA
  • NPI 1881942902
  Medicare reassignment Care Compare group NPD
• Lasagna Quinn-Freeman, ARNP

  • Nurse Practitioner
  • Newnan, GA
  • NPI 1679852768
  Medicare reassignment Care Compare group NPD
• Michelle Anne Sylvina Thomas, MD

  • Nephrology Physician
  • Newnan, GA
  • NPI 1285155820
  Medicare reassignment Care Compare group NPD
• Cierra Williams, NP

  • Family Nurse Practitioner
  • Newnan, GA
  • NPI 1730557752
  Medicare reassignment Care Compare group NPD
• Ashish Dhungel, M.D

  • Nephrology Physician
  • Newnan, GA
  • NPI 1043421175
  Medicare reassignment Care Compare group
• Shazia Khan, MD

  • Nephrology Physician
  • Newnan, GA
  • NPI 1164526323
  Medicare reassignment Care Compare group
• Jadeda Hooks, RDN, CSR

  • Registered Dietitian
  • Newnan, GA
  • NPI 1174834493
  NPD

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1083803472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651323",
            "telephone_number": "770-304-3724",
            "fax_number": "770-304-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651323",
            "telephone_number": "770-304-3724",
            "fax_number": "770-304-3726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Governors Sq Ste C",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302694862",
            "country_code": "US",
            "telephone_number": "770-376-6256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEPHROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "GIVENS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "770-304-3724"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "048905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300044734C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kidney Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Onyebuchi Neita, PA-C
• Barry Sheldon Nelms, CAA
• Brenda L Nelson-Porter, ND
• Derrick Nelson
• Reneisha Nelson
• Krystal Smith Nestlehutt, MPT
• Candice Norkee Nettles, BSN,RN,IBCLC
• Nathan J Neufeld, D.O.
• Newnan Anesthesia Associates, LLC
• Newnan Center for Foot and Ankle Surgery, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.