NPIMap

Individual provider Active NPI

Deep Adhikari, M.D.

  • Nephrology Physician
  • Warner Robins, GA
National Provider Identifier
1487821989
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
70025 Issued in GA
Practice address
105 Tommy Stalnaker Dr
Suite 1
Warner Robins, GA 31088-8956
Phone
(478) 333-3612
Fax
(478) 333-3631
NPI assigned
May 13, 2008
Last updated
Mar 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 70025 GA
Nephrology Physician 207RN0300X 70025 GA Primary

Addresses

Primary practice location

105 Tommy Stalnaker Dr
Suite 1
Warner Robins, GA 31088-8956

Mailing address

105 Tommy Stalnaker Dr
Suite 1
Warner Robins, GA 31088-8956
Phone (478) 333-3612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140320001192 GA Practitioner - Nephrology 9931393246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Tommy Stalnaker Dr
Suite 1
Warner Robins, GA 31088-8035
Phone (478) 333-3612

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hypertension and Kidney Associates of Middle Georgia, LLC Nephrology CurrentSince Jan 28, 2014 Accepting new patients

Locations

701 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 825-0023

105 Tommy Stalnaker Dr
Warner Robins, GA 31088
Phone (478) 333-3612

105 Tommy Stalnaker Dr
Ste 1
Warner Robins, GA 31088
Phone (478) 333-3612

Interoperability endpoints

  • Direct secure messaging: deep.adhikari@hk.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHJECA/Endpoint/DHJECA
  • Direct secure messaging: otate446841@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 1

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

Hospital & facility affiliations 6

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1487821989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TOMMY STALNAKER DR",
            "address_2": "SUITE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888956",
            "telephone_number": "478-333-3612",
            "fax_number": "478-333-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TOMMY STALNAKER DR",
            "address_2": "SUITE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888956",
            "telephone_number": "478-333-3612",
            "fax_number": "478-333-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADHIKARI",
        "first_name": "DEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "70025",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "70025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.