Individual provider Active NPI

Divakar Jammalamadaka, MD

  • Nephrology Physician
  • Snellville, GA
National Provider Identifier
1265699920
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
66378 Issued in GA
Practice address
2386 Clower St Ste C105
Snellville, GA 30078-6107
Phone
(678) 344-0334
Fax
(678) 344-0343
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 66378 GA Primary

Addresses

Primary practice location

2386 Clower St Ste C105
Snellville, GA 30078-6107

Mailing address

2386 Clower St Ste C105
Snellville, GA 30078-6107
Phone (678) 344-0334

Other practice location 1

4805 Lawrenceville Hwy NW Ste 320
Lilburn, GA 30047-3800
Phone (678) 344-0334

Other practice location 2

4555 Atlanta Hwy
Loganville, GA 30052-2646
Phone (678) 344-0334

Other practice location 3

1501 Milstead Rd NE Ste 150
Conyers, GA 30012-3857
Phone (678) 344-0334

Other practice location 4

10132 Carlin Drive
Covington, GA 30014
Phone (678) 344-0334

Other practice location 5

3370 Sugarloaf Pkwy Ste A1
Lawrenceville, GA 30044-5491
Phone (678) 344-0334

Other practice location 6

2399 Wall St SE
Conyers, GA 30013-2187
Phone (678) 344-0334

Other identifiers 1

IdentifierTypeStateIssuer
003118431AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000230 GA Practitioner - Internal Medicine 8820271273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Kidney ClinicGroup PAC ID 0749353225, 4 clinicians

Practice addresses (Care Compare)

2386 Clower St
C105
Snellville, GA 30078-6107

Hospital & facility affiliations

  • DaVita Lilburn Dialysis Dialysis facility, Lilburn, GA, CCN 852545
  • USRC Snellville Dialysis Dialysis facility, Lawrenceville, GA, CCN 852521
  • DaVita Sugarloaf Dialysis Dialysis facility, Lawrenceville, GA, CCN 112758
  • DaVita Snellville Dialysis Dialysis facility, Snellville, GA, CCN 112806
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66378GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Jan 15, 2013 Accepting new patients
The Kidney Clinic Nephrology CurrentSince Jul 1, 2016 Accepting new patients
Au Medical Associates Inc CurrentSince Jan 15, 2013 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

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

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

2399 Wall St SE
Conyers, GA 30013
Phone (470) 207-1467

1501 Milstead Rd NE
Ste 150
Conyers, GA 30012
Phone (678) 344-0334

3370 Sugarloaf Pkwy
Ste A1
Lawrenceville, GA 30044
Phone (678) 344-0334

4805 Lawrenceville Hwy NW
Ste 320
Lilburn, GA 30047
Phone (678) 344-0334

4555 Atlanta Hwy
Ste M
Loganville, GA 30052
Phone (678) 344-0334

2386 Clower St
Ste C105
Snellville, GA 30078
Phone (678) 344-0334

Interoperability endpoints

  • Direct secure messaging: divakar.jammalamadaka@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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 9

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1265699920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST STE C105",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786107",
            "telephone_number": "678-344-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST STE C105",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786107",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4805 Lawrenceville Hwy NW Ste 320",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300473800",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4555 Atlanta Hwy",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300522646",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Milstead Rd NE Ste 150",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123857",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10132 Carlin Drive",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "30014",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3370 Sugarloaf Pkwy Ste A1",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300445491",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2399 Wall St SE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300132187",
            "country_code": "US",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMMALAMADAKA",
        "first_name": "DIVAKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "66378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118431A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.