Atekha Nephrology Clinic

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

049266 Issued in GA

Legal business name

ATEKHA NEPHROLOGY CLINIC

Practice address

1030 Bermuda Run
Statesboro, GA 30458-0858

Phone

(912) 764-8396

Fax

(912) 764-7188

NPI assigned

Mar 14, 2007

Last updated

Feb 9, 2016By 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. Courage A Atekha, M.D.NPI 1124119219

Title

Physician

Phone

(912) 764-8396

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Courage A Atekha, M.D.

  • Nephrology Physician
  • Statesboro, GA
  • NPI 1124119219
  Medicare reassignment Authorized official
• Bethrand Okafor Ugwu, PA-C

  • Physician Assistant
  • Statesboro, GA
  • NPI 1437021649
  Medicare reassignment NPD
• Stephen Karimi

  • Family Nurse Practitioner
  • Statesboro, GA
  • NPI 1245782325
  Medicare reassignment
• Narothama Reddy Aeddula, MD

  • Nephrology Physician
  • Evansville, IN
  • NPI 1255581641
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1285767434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BERMUDA RUN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580858",
            "telephone_number": "912-764-8396",
            "fax_number": "912-764-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BERMUDA RUN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580858",
            "telephone_number": "912-764-8396",
            "fax_number": "912-764-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATEKHA NEPHROLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "ATEKHA",
        "authorized_official_first_name": "COURAGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "912-764-8396",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "049266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000933413L",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000933413K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000933413P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000933413M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000933413O",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000933413N",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demetria G Aseron, RN
• Mackenzie Ashby
• Aspired Unity
• Chad Asplund, MD
• Camille Atallah, M.D.
• Courage A Atekha, M.D.
• Atys B Cope, MD, LLC
• Augusta Vamc
• Rosa M Austin, FNP
• Awakening Autism Center

• Nephrology Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.