Crisp Medical and Kidney Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CRISP MEDICAL AND KIDNEY CARE LLC

Practice address

401 E 4TH Ave
Cordele, GA 31015-3620

Phone

(478) 953-0024

Fax

(478) 953-0675

NPI assigned

Mar 25, 2024

Last updated

Mar 25, 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

Srilatha Nadipineni, MDNPI 1073720496

Title

MD Owner

Phone

(478) 953-0024

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

Practitioners 2

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.

• Srilatha Nadipineni, MD

  • Internal Medicine Physician
  • Cordele, GA
  • NPI 1073720496
  Medicare reassignment Care Compare group NPD Authorized official
• Geraldine J Jones, NP-C

  • Family Nurse Practitioner
  • Cordele, GA
  • NPI 1770899262
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1407606379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 4TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153620",
            "telephone_number": "478-953-0024",
            "fax_number": "478-953-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 4TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153620",
            "telephone_number": "478-953-0024",
            "fax_number": "478-953-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISP MEDICAL AND KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "NADIPINENI",
        "authorized_official_first_name": "SRILATHA",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "478-953-0024",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crisp County Board of Health
• Crisp County Emergency Medical Services
• Crisp County School System
• Crisp General Internal Medicine Inc
• Crisp Home Care
• Crisp Medical Equipment LLC
• Crisp Regional Hospital (Boreland and Cao OBGYN)
• Crisp Regional Hospital
• Crisp Regional Hospital (Bailey & Boreland OBGYN)
• Crisp Regional Hospital Inc (Crisp Regional Orthopedics)

• Internal Medicine Physician in Cordele, GA
• Providers in Cordele, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.