Central Georgia Kidney Specialists, PC
Organization Active NPI Specialist · Macon, GA
NPI 1154373314 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1154373314
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- CENTRAL GEORGIA KIDNEY SPECIALISTS, PC
- Practice address
- 890 2ND St
Suite 201
Macon, GA 31201-6863 - Phone
- (478) 745-4322
- Fax
- (478) 750-8789
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Muhammad Sohail Akbar, M.D.
- Title
- Managing Partner
- Phone
- (478) 745-4322
Practitioners 9
-
Saghir Ahmed, MD
-
Muhammad Sohail Akbar, M.D.
-
Abdul Haseeb, MD
-
Sagar Jayant Panse, M.D.
-
Shannon Reynolds, NP
-
Frieda Allene Underwood, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040305000002 | GA | Part B Supplier - Clinic/Group Practice | 7810885506 |
Receives reassigned benefits from 8 practitioners Practice locations: Monticello, GA; Montezuma, GA; Milledgeville, GA; Macon, GA; Fort Valley, GA; Forsyth, GA; Eatonton, GA |
National Provider Directory
Locations
567 Bluebird Blvd
Fort Valley, GA 31030
890 2nd St
Ste 100
Macon, GA 31201
700 SPG St
Macon, GA 31201
Phone (478) 633-8200
890 2nd St
Ste 201
Macon, GA 31201
Phone (478) 745-7322
1520 N Columbia St
Ste 101
Milledgeville, GA 31061
1310 N Columbia St
Ste C
Milledgeville, GA 31061
Phone (478) 225-9882
106 McCrary Ave
Roberta, GA 31078
Phone (478) 836-2819
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIFEAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
890 2ND St
Suite 201
Macon, GA 31201-6863
Mailing address
890 2ND St
Suite 201
Macon, GA 31201-6863
Phone (478) 745-4322
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000867325I | Medicaid | GA | |
| 000884606X | Medicaid | GA | |
| 180599206M | Medicaid | GA | |
| 770845851A | Medicaid | GA | |
| 770845851C | Medicaid | GA | |
| 000183598AN | Medicaid | GA | |
| 000867325W | Medicaid | GA | |
| 000884606AB | Medicaid | GA | |
| 000884606D | Medicaid | GA | |
| 000884606K | Medicaid | GA | |
| 000884606M | Medicaid | GA | |
| 000884606Y | Medicaid | GA | |
| 288034431B | Medicaid | GA | |
| 000867325S | Medicaid | GA | |
| 000867325V | Medicaid | GA | |
| 000884606W | Medicaid | GA | |
| 288034431A | Medicaid | GA | |
| 288034431D | Medicaid | GA | |
| 288034431E | Medicaid | GA | |
| 000183598AE | Medicaid | GA | |
| 000867325J | Medicaid | GA | |
| 000867325X | Medicaid | GA | |
| 288034431C | Medicaid | GA | |
| 000183598AI | Medicaid | GA | |
| 000183598AK | Medicaid | GA | |
| 000183598AL | Medicaid | GA | |
| 000867325L | Medicaid | GA | |
| 000884606AC | Medicaid | GA | |
| 000884606G | Medicaid | GA | |
| 770845851D | Medicaid | GA | |
| 000183598AF | Medicaid | GA | |
| 000183598AG | Medicaid | GA | |
| 000884606L | Medicaid | GA | |
| 190642915A | Medicaid | GA | |
| 000183598AH | Medicaid | GA | |
| 000183598AJ | Medicaid | GA | |
| 000183598AM | Medicaid | GA | |
| 000867325K | Medicaid | GA | |
| 000867325U | Medicaid | GA | |
| 000867325G | Medicaid | GA | |
| 000884606E | Medicaid | GA | |
| 000884606V | Medicaid | GA | |
| 288034431F | Medicaid | GA | |
| 000867325H | Medicaid | GA | |
| 000884606P | Medicaid | GA | |
| 000884606R | Medicaid | GA | |
| 190642915B | Medicaid | GA | |
| 770845851B | Medicaid | GA | |
| 770845851E | Medicaid | GA |
Other providers in Macon, GA
- Central Georgia Home Care Services, Inc.
- Central Georgia Homecare Services, Inc
- Central Georgia Infectious Diseases Associates, LLC
- Central Georgia Internal Medicine, LLC
- Central Georgia Internist
- Central Georgia MRI LLC
- Central Georgia Oral and Maxillofacial Surgery, LLC
- Central Georgia Pediatrics, Inc.
- Central Georgia Pediatrics, Inc.
- Central Georgia Pet LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.