Organization Active NPI

Dublin Nephrology Care, LLC

  • Nephrology Physician
  • Dublin, GA
National Provider Identifier
1386885697
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
049554 Issued in GA
Legal business name
DUBLIN NEPHROLOGY CARE, LLC
Practice address
203 Fairview Park Dr
Dublin, GA 31021-2550
Phone
(478) 275-2828
Fax
(478) 275-7676
NPI assigned
Mar 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Dr. Zhiqiang Zhang, M.D.NPI 1639105620
Title
Administrator
Phone
(478) 275-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 049554 GA
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 049554 GA Primary

Addresses

Primary practice location

203 Fairview Park Dr
Dublin, GA 31021-2550

Mailing address

PO Box 1506
Dublin, GA 31040-1506
Phone (478) 275-2828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090630000381 GA Part B Supplier - Clinic/Group Practice 2961553094 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, GA

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
11D1099654Dublin Nephrology Care LLC203 Fairview Park Drive, Dublin, GA 31021Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory

Locations

203 Fairview Park Dr
Dublin, GA 31021
Phone (478) 275-2828

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1386885697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1506",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310401506",
            "telephone_number": "478-275-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212550",
            "telephone_number": "478-275-2828",
            "fax_number": "478-275-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBLIN NEPHROLOGY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "ZHIQIANG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-275-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "049554",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "049554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.