Nephrology Consultants of Jax LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NEPHROLOGY CONSULTANTS OF JAX LLC

Practice address

3129 Hendricks Ave Ste 2
Jacksonville, FL 32207-4217

Phone

(904) 398-8266

Fax

(904) 396-4803

NPI assigned

Jun 3, 2024

Last updated

Jun 5, 2024By 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

Haritha Sakhamuri, MDNPI 1952455297

Title

Member/Authorized Official

Phone

(904) 891-3316

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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.

• Haritha Sakhamuri, M.D.

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1952455297
  Medicare reassignment Care Compare group NPD Authorized official
• Emma Piedad Bueno, M.D.

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1669806923
  Medicare reassignment Care Compare group NPD
• Jeremy Carlson

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1932562832
  Medicare reassignment Care Compare group NPD
• Hem Prakash Chataut, M.D.

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1871800763
  Medicare reassignment Care Compare group NPD
• Latoya Michaele Roberson, FNP-BC

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1093563850

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1306687439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 HENDRICKS AVE STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074217",
            "telephone_number": "904-398-8266",
            "fax_number": "904-396-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 HENDRICKS AVE STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074217",
            "telephone_number": "904-398-8266",
            "fax_number": "904-396-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CONSULTANTS OF JAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "SAKHAMURI",
        "authorized_official_first_name": "HARITHA",
        "authorized_official_title_or_position": "MEMBER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "904-891-3316",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meskerem Nemomsa, MD
• Nemours Children's Health, Jacksonville South, Specialty Care
• Nemours Children's Health, Jacksonville, Specialty Care
• Nephrology Consultants of Jacksonville LLC
• Nephrology Consultants of Jacksonville LLC
• Nephrology Group of Northeast
• Neptune Beach Surgical Specialists LLC
• Neptune Beach Surgical Specialists LLC
• Neil Nesbitt
• Danielle Alyssa Nese, DO

• Nephrology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.