Nizar Eskandar, M.D.
Individual provider Active NPI Nephrology Physician · Hinesville, GA
NPI 1104833698 · NPPES record last updated Nov 23, 2009
Key facts
- NPI
- 1104833698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 047425 (GA)
- Practice address
- 455 S Main St
Ste 201
Hinesville, GA 31313-4353 - Phone
- (912) 877-6822
- Fax
- (912) 408-6781
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Privia Medical Group of Georgia LLC
Appling Total Wellness LLC
Practice addresses (Care Compare)
1000 Towne Ctr Blvd
BLDG 1200
Pooler, GA 31322-4129
Phone (912) 748-2280
101 Yorktown Dr
Fayetteville, GA 30214-1578
101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285
1326 Eisenhower Dr
Savannah, GA 31406-3928
1745 City Circle Rd
Baxley, GA 31513-7059
Phone (912) 527-5225
455 S Main St
Hinesville, GA 31313-4354
6510 Seawright Dr
Savannah, GA 31406-2752
Phone (912) 691-4100
9 Chatham Ctr S
Suite C
Savannah, GA 31405-7455
Phone (912) 527-7211
Hospital & facility affiliations
- DaVita Magnolia Oaks Dialysis
- DaVita Savannah Riverside at Home
- DaVita Savannah Gateway Dialysis
- DaVita Pooler Dialysis
- DaVita Derenne Dialysis
- St Joseph'S Hospital - Savannah
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- Candler Hospital
- Wayne Memorial Hospital
- Liberty Regional Medical Center
- Encompass Health Rehab Hospital of Savannah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090114000449 | GA | Practitioner - Nephrology |
4385746817 | Reassigns benefits to 2 organizations |
| I20140113001051 | SC | Practitioner - Nephrology | 4385746817 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047425 | GA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appling Total Wellness, LLC | Current |
Accepting new patients | |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current |
Accepting new patients |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current |
Accepting new patients |
| Wvva Health Care Alliance, PC | Internal Medicine | Past | Accepting new patients |
| Glenvue Operations LLC | Past | Accepting new patients |
Locations
1745 City Circle Rd
Bldg B
Baxley, GA 31513
Phone (912) 705-1939
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
455 S Main St
Ste 102
Hinesville, GA 31313
Phone (912) 876-5505
455 S Main St
Ste 201
Hinesville, GA 31313
Phone (912) 877-6781
1000 Towne Center Blvd
Bldg 1200
Pooler, GA 31322
Phone (912) 748-2280
1326 Eisenhower Dr
#1
Savannah, GA 31406
Phone (912) 691-4100
1326 Eisenhower Dr
Bldg 2
Savannah, GA 31406
Phone (912) 354-5543
1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- nizareskandar@scmgllc.allscriptsdirect.net
- nizar.eskandar.1@8042.direct.athenahealth.com
- nizar.eskandar.1@26818.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 047425 | GA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 047425 | GA | |
| Nephrology Physician | 207RN0300X | 047425 | GA | Yes |
Addresses
Primary practice location
455 S Main St
Ste 201
Hinesville, GA 31313-4353
Mailing address
PO Box 15849
Savannah, GA 31416-2549
Phone (912) 303-3552
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000879062F | Medicaid | GA | |
| P00689897 | Other | GA | RR |
| 000879062G | Medicaid | GA | |
| Q47425 | Medicaid | SC |
Other providers in Hinesville, GA
- Taylor Hamilton Ellison
- Mackenzie Elrod
- Emanuel Loving Arms Residential Child Care , Inc
- Embrace Au Natural LLC
- Eric L. Hall, MD; PC
- Samantha Estrada
- Rainleen Francese Etienne
- Austin Eubanks
- Tomeka Lashun Evans
- Symone Alicia Everson
All providers in Hinesville, GA · Nephrology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.