Individual provider Active NPI

Chetana Rondla, M.D.

  • Nephrology Physician
  • Lawrenceville, GA
National Provider Identifier
1417101189
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
71626 Issued in GA
Practice address
595 Hurricane Shoals Road, N.W.
Suite 100
Lawrenceville, GA 30046
Phone
(404) 645-7150
Fax
(404) 645-7107
NPI assigned
Nov 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 71626 GA Primary

Addresses

Primary practice location

595 Hurricane Shoals Road, N.W.
Suite 100
Lawrenceville, GA 30046

Mailing address

595 Hurricane Shoals Road, N.W.
Suite 100
Lawrenceville, GA 30046-8762
Phone (404) 645-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140908000415 GA Practitioner - Nephrology 9931392735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Nephrology, LLCGroup PAC ID 4082606496, 29 clinicians

Practice addresses (Care Compare)

595 Hurricane Shoals Rd NW
Suite 100
Lawrenceville, GA 30046-8762
Phone (404) 645-7150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71626GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Nephrology, LLC Nephrology CurrentSince Oct 1, 2015 Accepting new patients
The Emory Clinic Inc Nephrology CurrentSince Jul 1, 2014 Accepting new patients
Regional Health Services LLC Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1550 Buford Hwy
Ste 1E
Buford, GA 30518
Phone (404) 645-7150

497 Winn Way
Ste A210
Decatur, GA 30030
Phone (404) 294-7033

6335 Hospital Pkwy
Ste 208
Johns Creek, GA 30097
Phone (404) 645-7150

595 Hurricane Shoals Rd NW
Ste 100
Lawrenceville, GA 30046
Phone (404) 645-7150

Interoperability endpoints

  • Direct secure messaging: crondla12448@direct.acumenmd.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1417101189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 HURRICANE SHOALS ROAD, N.W.",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468762",
            "telephone_number": "404-645-7150",
            "fax_number": "404-645-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 HURRICANE SHOALS ROAD, N.W.",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "404-645-7150",
            "fax_number": "404-645-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDLA",
        "first_name": "CHETANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "71626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.