Nephrology Medical Associates of Georgia LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC

Doing business as

Nebraska Kidney Care

Practice address

307 N 46TH St
Lincoln, NE 68503-3714

Phone

(402) 466-8259

Fax

(866) 891-4864

NPI assigned

Jun 7, 2006

Last updated

Jan 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Deron Frank

Title

General Manger/Vice President

Phone

(310) 536-2402

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nebraska Kidney Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Nephrology Medical Associates of Ga LLC

  dba Nebraska Kidney Care

  • Nephrology Physician
  • Hastings, NE
  • NPI 1225238785

  O20130124000258

  Same enrollment
• Nephrology Medical Associates of Georgia LLC

  dba DaVita Nephrology Partners

  • Nephrology Physician
  • Hermiston, OR
  • NPI 1093775645

  O20130124000258

  Same enrollment
• Nephrology Medical Associates of Georgia LLC

  • Nephrology Physician
  • Lakewood, CO
  • NPI 1285694836

  O20130124000258

  Same enrollment
• Nephrology Medical Associates of Georgia, LLC

  dba DaVita Kidney Specialists of Virginia

  • Nephrology Physician
  • Fredericksburg, VA
  • NPI 1114344926

  O20130124000258

  Same enrollment
• Nephrology Medical Associates of Georgia, LLC

  dba Southern Kidney Care

  • Nephrology Physician
  • Birmingham, AL
  • NPI 1407192172

  O20130124000258

  Same enrollment

Locations

Practitioners 2

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.

• Ramez J Habash, MD

  • Nephrology Physician
  • Hastings, NE
  • NPI 1184685604

  Internal Medicine

  NPD (past)
• David Raymond Gelbart, MD

  • Nephrology Physician
  • Fargo, ND
  • NPI 1639128515
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1285674515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 16TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025117",
            "telephone_number": "303-876-7243",
            "fax_number": "866-917-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N 46TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033714",
            "telephone_number": "402-466-8259",
            "fax_number": "866-891-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "DERON",
        "authorized_official_title_or_position": "GENERAL MANGER/VICE PRESIDENT",
        "authorized_official_telephone_number": "310-536-2402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025093700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nebraska Kidney Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler J Neltner, ATC
• Ethan Nemec
• Rouaa Nemeh
• Brittney Nemitz
• Maria Nenninger
• Ta Ma Ner
• Yu Lee Ner
• Emily Marie Neri, MD
• Joseph Neri
• Kim Nesja

• Nephrology Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Nephrology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.