Southwest Ga. Nephrology Clinic, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

H708815 Issued in GA

Legal business name

SOUTHWEST GA. NEPHROLOGY CLINIC, P.C.

Practice address

11135 Columbia St Ste a
Blakely, GA 39823-3475

Phone

(229) 888-3970

Fax

(229) 888-7771

NPI assigned

Jul 26, 2017

Last updated

Jul 26, 2017By 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

John Joseph Schilling, MDNPI 1841282142

Title

President

Phone

(229) 888-3970

Specialties & licenses 1

Addresses

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.

• John Joseph Schilling, MD

  • Nephrology Physician
  • Albany, GA
  • NPI 1841282142
  Authorized official Same address or phone
• Crystal D Gay, PA

  • Physician Assistant
  • Braselton, GA
  • NPI 1639285430
  NPD (past)

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1588188130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012057",
            "telephone_number": "229-888-3970",
            "fax_number": "229-888-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 COLUMBIA ST STE A",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398233475",
            "telephone_number": "229-888-3970",
            "fax_number": "229-888-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST GA. NEPHROLOGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "SCHILLING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-888-3970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "H708815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Self Discovery Counseling and Consulting Inc
• Serenity Living of Blakely
• Mary Madeline Shattles, NP
• Sherri L Shaw
• Morgan Simpson, DC, CBD
• Dave Stewart, M.D.
• William H Strickland Jr., PA
• Jeffrey E. Tardif, P.T.
• Izabella Cushing Temples, NP
• Aretha Tinson, NP-C

• Specialist in Blakely, GA
• Providers in Blakely, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.