Organization Active NPI

North Georgia Neprology Consultants LLC

  • Nephrology Physician
  • Athens, GA
National Provider Identifier
1275668394
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
050865 Issued in GA
Legal business name
NORTH GEORGIA NEPROLOGY CONSULTANTS LLC
Practice address
5105 Jefferson Road
Suite B
Athens, GA 30607-1720
Phone
(706) 227-4075
Fax
(706) 227-4086
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Mrs. Saima Bashir
Title
Office Manager
Phone
(706) 227-4075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 050865 GA Primary

Addresses

Primary practice location

5105 Jefferson Road
Suite B
Athens, GA 30607-1720

Mailing address

5105 Jefferson Rd
Suite # B
Athens, GA 30607-1701
Phone (706) 227-4075

Other identifiers 12

IdentifierTypeStateIssuer
10035054OtherGAAMERIGROUP
000935789FMedicaidGA
3100152OtherGAUNITED HEALTH
460374361AOtherGAGBHC
P00076801OtherGAMEDICARE RAIL ROAD
000935789AMedicaidGA
000935789DMedicaidGA
2917383OtherGAAETNA HMO
52834554005OtherGABCBS
GRP5128OtherGAMEDICARE GROUP NUMBER
5628203OtherGAAETNA PPO
000935789EMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426001099 GA Part B Supplier - Clinic/Group Practice 3476540204 Receives reassigned benefits from 6 practitioners
Practice locations: Winder, GA; Royston, GA; Monroe, GA; Loganville, GA; Hartwell, GA; Grunsboro, GA; Greensboro, GA; Elbrton, GA…

National Provider Directory

National Provider Directory

Locations

2026 S Milledge Ave
Athens, GA 30605
Phone (706) 549-3297

5105 Jefferson Rd
#B
Athens, GA 30607
Phone (706) 227-4075

700 Oglethorpe Ave
Ste B4
Athens, GA 30606
Phone (706) 227-4075

894 Elbert St
Elberton, GA 30635
Phone (706) 283-9833

1220 Siloam Rd
Greensboro, GA 30642
Phone (706) 453-7222

1065 E Franklin St
Hartwell, GA 30643
Phone (470) 407-7348

2151 W Spring St
Ste 160
Monroe, GA 30655

429 Loganville Hwy
Winder, GA 30680
Phone (678) 699-8614

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1275668394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 JEFFERSON RD",
            "address_2": "SUITE # B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071701",
            "telephone_number": "706-227-4075",
            "fax_number": "706-227-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 JEFFERSON ROAD",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071720",
            "telephone_number": "706-227-4075",
            "fax_number": "706-227-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA NEPROLOGY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "BASHIR",
        "authorized_official_first_name": "SAIMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-227-4075",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "050865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10035054",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000935789F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "3100152",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GBHC",
            "identifier": "460374361A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00076801",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000935789A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000935789D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2917383",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52834554005",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP5128",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5628203",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000935789E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.