Active NPI
Nephrology Consultants of West Georgia
- Nephrology Physician
- Lagrange, GA
National Provider Identifier
1275030819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 70332
- Legal business name
- NEPHROLOGY CONSULTANTS OF WEST GEORGIA
- Practice address
- 142 Old Mill Rd
Lagrange, GA 30241-6704 - Phone
- (706) 885-1900
- Fax
- (706) 882-1350
- NPI assigned
- Apr 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Syed A Ahmed, MD
- Title
- Owner
- Phone
- (706) 885-1900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 70332 | GA | Primary |
Addresses
Primary practice location
142 Old Mill Rd
Lagrange, GA 30241-6704
Mailing address
142 Old Mill Rd
Lagrange, GA 30241-6704
Phone (706) 885-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70332 | Other | GA | GEORGIA LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523318400000",
"number": "1275030819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 OLD MILL RD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302416704",
"telephone_number": "706-885-1900",
"fax_number": "706-882-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 OLD MILL RD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302416704",
"telephone_number": "706-885-1900",
"fax_number": "706-882-1350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY CONSULTANTS OF WEST GEORGIA",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-885-1900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "70332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA LICENSE",
"identifier": "70332",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.