NPIMap

Individual provider Active NPI

Nizar Eskandar, M.D.

  • Nephrology Physician
  • Hinesville, GA
National Provider Identifier
1104833698
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
047425 Issued in 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
Last updated
Nov 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047425 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 047425 GA
Nephrology Physician 207RN0300X 047425 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090114000449 GA Practitioner - NephrologyPractitioner - Critical Care (Intensivists) 4385746817 Reassigns benefits to 2 organizations
I20140113001051 SC Practitioner - Nephrology 4385746817

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Critical Care (Intensivists)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appling Total Wellness LLCGroup PAC ID 6406227255, 2 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Appling Total Wellness, LLC CurrentSince Dec 1, 2022 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Glenvue Operations LLC Past Accepting new patients
Wvva Health Care Alliance, PC Internal Medicine 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 1
Savannah, GA 31406
Phone (912) 691-4100

1326 Eisenhower Dr
Bldg 2
Savannah, GA 31406
Phone (912) 354-5543

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nizar.eskandar.1@26818.direct.athenahealth.com
  • Direct secure messaging: nizar.eskandar.1@8042.direct.athenahealth.com
  • Direct secure messaging: nizareskandar@scmgllc.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 10

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1104833698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15849",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314162549",
            "telephone_number": "912-303-3552",
            "fax_number": "912-303-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "address_2": "STE 201",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134353",
            "telephone_number": "912-877-6822",
            "fax_number": "912-408-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKANDAR",
        "first_name": "NIZAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047425",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "047425",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "047425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.