Organization Active NPI

Associated Nephrology of Northeast Georgia LLC

  • Nephrology Physician
  • Commerce, GA
National Provider Identifier
1447612874
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ASSOCIATED NEPHROLOGY OF NORTHEAST GEORGIA LLC
Practice address
641 Hospital Rd
Suite 2
Commerce, GA 30529-1155
Phone
(706) 335-4212
Fax
(706) 336-8142
NPI assigned
Mar 24, 2016
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Ms. Nuzhat Ahmed
Title
Owner
Phone
(404) 434-2753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

641 Hospital Rd
Suite 2
Commerce, GA 30529-1155

Mailing address

641 Hospital Rd
Suite 2
Commerce, GA 30529-1155
Phone (706) 335-4212

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17682/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1447612874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 HOSPITAL RD",
            "address_2": "SUITE 2",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291155",
            "telephone_number": "706-335-4212",
            "fax_number": "706-336-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 HOSPITAL RD",
            "address_2": "SUITE 2",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291155",
            "telephone_number": "706-335-4212",
            "fax_number": "706-336-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED NEPHROLOGY OF NORTHEAST GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NUZHAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-434-2753",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.