Active NPI
North Georgia Neprology Consultants LLC
- Nephrology Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 050865
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10035054 | Other | GA | AMERIGROUP |
| 000935789F | Medicaid | GA | |
| 3100152 | Other | GA | UNITED HEALTH |
| 460374361A | Other | GA | GBHC |
| P00076801 | Other | GA | MEDICARE RAIL ROAD |
| 000935789A | Medicaid | GA | |
| 000935789D | Medicaid | GA | |
| 2917383 | Other | GA | AETNA HMO |
| 52834554005 | Other | GA | BCBS |
| GRP5128 | Other | GA | MEDICARE GROUP NUMBER |
| 5628203 | Other | GA | AETNA PPO |
| 000935789E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Athens, GA
- NPI 1700822608
-
- Adult Health Nurse Practitioner
- Suwanee, GA
- NPI 1134842057
-
- Gerontology Nurse Practitioner
- Dawsonville, GA
- NPI 1205584380
-
- Family Nurse Practitioner
- Athens, GA
- NPI 1568235661
-
- Nephrology Physician
- Griffin, GA
- NPI 1033490743
-
- Nephrology Physician
- Athens, GA
- NPI 1447451190
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
- Annabeth G Norboge, PTA
- Connor Norman, PT, CSCS
- Logan Elise Norris-Jones, MED, CCC-SLP
- Byron Kit Norris, MD
- Ellie Lacour Norris, PA
- Northeast Ga Surgical Healthcare
- Northeast Georgia Anesthesiology LLC
- Northeast Georgia ENT-Head & Neck Surgery PC
- Northeast Georgia Gastroenterology Associates, PC
- Northeast Georgia House Calls LLC
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.