NPIMap

Individual provider Active NPI

Srikar Kumar

  • Nephrology Physician
  • Stockbridge, GA
National Provider Identifier
1306265384
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
82257 Issued in GA
Practice address
250 Village Center Pkwy Ste 100
Stockbridge, GA 30281-9104
Phone
(678) 289-0508
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 82257 GA Primary

Addresses

Primary practice location

250 Village Center Pkwy Ste 100
Stockbridge, GA 30281-9104

Mailing address

250 Village Center Pkwy Ste 100
Stockbridge, GA 30281-9104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191109000043 GA Practitioner - NephrologyPractitioner - Internal Medicine 0244533222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Emory University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Crescent Nephrology PCGroup PAC ID 2466449269, 7 clinicians

Practice addresses (Care Compare)

250 Village Ctr Pkwy
Suite 100
Stockbridge, GA 30281-9104
Phone (678) 289-0508

Hospital & facility affiliations

  • DaVita McDonough Dialysis Center Dialysis facility, McDonough, GA, CCN 112651
  • DaVita Locust Grove Dialysis Dialysis facility, Locust Grove, GA, CCN 112892
  • DaVita Grovepark Dialysis Dialysis facility, Jackson, GA, CCN 112741
  • DaVita Union City Dialysis Dialysis facility, Union City, GA, CCN 112788
  • DaVita Southern Crescent Dialysis Center Dialysis facility, Riverdale, GA, CCN 112771
  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165
  • Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Crescent Nephrology, PC Single Specialty CurrentSince Aug 1, 2019 Accepting new patients

Locations

101 Yorktown Dr
Ste 209B
Fayetteville, GA 30214

415 S 8th St
Griffin, GA 30224
Phone (678) 590-1238

531 Stanley K Tanger Blvd
Locust Grove, GA 30248

250 Village Center Pkwy
Ste 100
Stockbridge, GA 30281
Phone (678) 289-0508

Interoperability endpoints

  • Direct secure messaging: skumar38673@direct.davitaphysiciansolutions.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHAAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1306265384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 VILLAGE CENTER PKWY STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 VILLAGE CENTER PKWY STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819104",
            "telephone_number": "678-289-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SRIKAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "82257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.