Active NPI
Nephrology and Hypertension Medical Associates PC
- Nephrology Physician
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Nephrology Physician
- Savannah, GA
- NPI 1275553489
O20040430000931
-
dba Nephrology & Hypertension Medical Assoc.
- Specialist
- Jesup, GA
- NPI 1730663857
O20040430000931
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0265224 | Nephrology and Hypertension Medical Associates | Certificate of waiver | Aug 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Savannah, GA
- NPI 1265435564
-
- Nephrology Physician
- Brunswick, GA
- NPI 1093721532
-
- Nephrology Physician
- Brunswick, GA
- NPI 1649296682
-
- Nephrology Physician
- Savannah, GA
- NPI 1396704326
-
- Physician Assistant
- Savannah, GA
- NPI 1083018667
-
- Physician Assistant
- Brunswick, GA
- NPI 1710038682
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.