NPIMap

Organization Active NPI

Nephrology and Hypertension Medical Associates PC

  • Nephrology Physician
  • Savannah, GA
National Provider Identifier
1275553489
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES PC
Practice address
1115 Lexington Ave
Savannah, GA 31404-5502
Phone
(912) 354-4813
Fax
(912) 354-7569
NPI assigned
Jul 20, 2006
Last updated
Aug 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Dr. Dana A Kumjian, M.D.NPI 1396704326
Title
President
Phone
(912) 354-4813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

1115 Lexington Ave
Savannah, GA 31404-5502

Mailing address

PO Box 15238
Savannah, GA 31416-1938
Phone (912) 354-4813

Other names 1

  • MEDICAL ASSOCIATES OF SAVANNAH PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040430000931 GA Part B Supplier - Clinic/Group Practice 0244227130 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
Practice locations: Brunswick, GA; Jesup, GA; Saint Marys, GA; Savannah, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0264863Nephrology and Hypertension Medical Associates1115 Lexington Avenue, Savannah, GA 31404Provider-performed microscopyFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

111 Colonial Way
Ste A
Jesup, GA 31545

5973 Ogeechee Rd
Savannah, GA 31419
Phone (912) 925-1920

1355 Brampton Ave
Statesboro, GA 30458
Phone (912) 871-2968

16 Kemmerlin Ln
#A
Beaufort, SC 29907
Phone (843) 524-2002

16 Kemmerlin Ln
Ste 100
Beaufort, SC 29907

Interoperability endpoints

  • Direct secure messaging: bryankrull@nhma.allscriptsdirect.net
  • Direct secure messaging: christopherkolasa@nhma.allscriptsdirect.net
  • Direct secure messaging: danakumjian@nhma.allscriptsdirect.net
  • Direct secure messaging: erikbernstein@nhma.allscriptsdirect.net
  • Direct secure messaging: jamesbazemore@nhma.allscriptsdirect.net
  • Direct secure messaging: jessicamcabeecoleman@nhma.allscriptsdirect.net
  • Direct secure messaging: jorgechabrier-rosello@nhma.allscriptsdirect.net
  • Direct secure messaging: martinwebb@nhma.allscriptsdirect.net
  • Direct secure messaging: mikhailnovikov@nhma.allscriptsdirect.net
  • Direct secure messaging: rafaelrodriguezabreu@nhma.allscriptsdirect.net
  • Direct secure messaging: rebeccasentman@nhma.allscriptsdirect.net
  • Direct secure messaging: williamgrubb@nhma.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1275553489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15238",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161938",
            "telephone_number": "912-354-4813",
            "fax_number": "912-354-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 LEXINGTON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045502",
            "telephone_number": "912-354-4813",
            "fax_number": "912-354-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "KUMJIAN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-354-4813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL ASSOCIATES OF SAVANNAH PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.