Individual provider Active NPI

Geoffrey H. Golembiewski, MD

  • Nephrology Physician
  • Athens, GA
National Provider Identifier
1467460709
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
039351 Issued in GA
Practice address
385 Hawthorne LN
Ste 200
Athens, GA 30606-2100
Phone
(706) 543-3130
Fax
(706) 543-3215
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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 039351 GA Primary

Addresses

Primary practice location

385 Hawthorne LN
Ste 200
Athens, GA 30606-2100

Mailing address

385 Hawthorne LN
Ste 200
Athens, GA 30606-2100
Phone (706) 543-3130

Other identifiers 2

IdentifierTypeStateIssuer
000661559DMedicaidGA
000661559CMedicaidGA

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
I20111213000442 GA Practitioner - Nephrology 8628084688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Emory University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidneyclinic of AthensGroup PAC ID 4284713140, 4 clinicians

Practice addresses (Care Compare)

385 Hawthorne LN
Suite 200
Athens, GA 30606-2100
Phone (706) 543-3130

Hospital & facility affiliations

  • DaVita Athens East Dialysis Dialysis facility, Athens, GA, CCN 112789
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidneyclinic of Athens CurrentSince Sep 1, 2015 Accepting new patients
Major Hospital Past Accepting new patients
Classic City Internal Medicine PastSince Sep 1, 2015 Accepting new patients

Locations

385 Hawthorne Ln
Ste 200
Athens, GA 30606
Phone (706) 543-3130

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 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1467460709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 HAWTHORNE LN",
            "address_2": "STE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062100",
            "telephone_number": "706-543-3130",
            "fax_number": "706-543-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 HAWTHORNE LN",
            "address_2": "STE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062100",
            "telephone_number": "706-543-3130",
            "fax_number": "706-543-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEMBIEWSKI",
        "first_name": "GEOFFREY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "039351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000661559D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000661559C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.