Premier Nephrology and Hypertension LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PREMIER NEPHROLOGY AND HYPERTENSION LLC

Practice address

540 Powder Springs St
Building E, Suite 29
Marietta, GA 30064-3549

Phone

(770) 470-3319

NPI assigned

Nov 16, 2023

Organization subpart

No

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

Authorized official

Name

Sandeep Jaglan, MDNPI 1205872116

Title

Physician/Owner

Phone

(770) 296-9768

Specialties & licenses 2

Addresses

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandeep Jaglan, M.D.

  • Nephrology Physician
  • Marietta, GA
  • NPI 1205872116
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1316712672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE 29",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643549",
            "telephone_number": "770-470-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST",
            "address_2": "BUILDING E, SUITE 29",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643549",
            "telephone_number": "770-470-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NEPHROLOGY AND HYPERTENSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "JAGLAN",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "770-296-9768",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premiere Medical Company, Inc.
• Premise Health of Georgia Medical PC (City of Marietta)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.