Organization Active NPI

Nephrology and Hypertension Medical Associates PC

  • Nephrology Physician
  • Brunswick, GA
National Provider Identifier
1356879902
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES PC
Practice address
3025 Shrine Rd
Brunswick, GA 31520-4784
Phone
(912) 354-4813
Fax
(912) 354-7569
NPI assigned
May 26, 2017
Last updated
May 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Authorized official

Name
Trish Rotureau
Title
Operations Manager
Phone
(912) 354-4813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

3025 Shrine Rd
Brunswick, GA 31520-4784

Mailing address

PO Box 15238
Savannah, GA 31416-1938
Phone (912) 354-4813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040430000931 GA Part B Supplier - Clinic/Group Practice 0244227130 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brunswick, GA; Jesup, GA; Saint Marys, GA; Savannah, GA

Other NPIs on the same Medicare enrollment 2

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0265224Nephrology and Hypertension Medical Associates3025 Shrine Rd Suite 450, Brunswick, GA 31520Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Locations

3025 Shrine Rd
Brunswick, GA 31520
Phone (912) 354-4813

312 N River St
Claxton, GA 30417
Phone (912) 739-9449

111 Colonial Way
Ste 2
Jesup, GA 31545
Phone (912) 588-1919

2812 Williams St
Savannah, GA 31404
Phone (912) 354-5005

5353 Reynolds St
Fl 4
Savannah, GA 31405

301 N Pine St
Springfield, GA 31329
Phone (912) 754-6098

16 Kemmerlin Ln
Beaufort, SC 29907
Phone (843) 476-4702

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1356879902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15238",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161938",
            "telephone_number": "912-354-4813",
            "fax_number": "912-354-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204784",
            "telephone_number": "912-354-4813",
            "fax_number": "912-354-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY AND HYPERTENSION MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "ROTUREAU",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "912-354-4813"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.