Organization Active NPI

Hypertension & Kidney Consultants of Georgia PC

  • Nephrology Physician
  • Suwanee, GA
National Provider Identifier
1659416550
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
HYPERTENSION & KIDNEY CONSULTANTS OF GEORGIA PC
Practice address
185 Old Peachtree Rd NW
Suwanee, GA 30024-2511
Phone
(678) 937-0300
Fax
(781) 464-2599
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Dr. Clara W Truesdell, M.D.NPI 1508854811
Title
Owner
Phone
(678) 937-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X GA Primary

Addresses

Primary practice location

185 Old Peachtree Rd NW
Suwanee, GA 30024-2511

Mailing address

185 Old Peachtree Rd NW
Suwanee, GA 30024-2511
Phone (678) 937-0300

Other practice location 1

5723 Memorial Dr
Stone Mountain, GA 30083-3425
Phone (678) 937-0300

Other identifiers 1

IdentifierTypeStateIssuer
300033676AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040503000935 GA Part B Supplier - Clinic/Group Practice 0345238077 Receives reassigned benefits from 3 practitioners
Practice locations: Suwanee, GA; Stone Mountain, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0993807Hypertension and Kidney Consultants of Georgia185 Old Peachtree Road, NW, Suwanee, GA 30024Certificate of waiverNov 26, 2027

National Provider Directory

National Provider Directory

Locations

4650 Jimmy Carter Blvd
Ste 113A
Norcross, GA 30093
Phone (678) 937-0300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1659416550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 OLD PEACHTREE RD NW",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242511",
            "telephone_number": "678-937-0300",
            "fax_number": "781-464-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 OLD PEACHTREE RD NW",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242511",
            "telephone_number": "678-937-0300",
            "fax_number": "781-464-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5723 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300833425",
            "country_code": "US",
            "telephone_number": "678-937-0300",
            "fax_number": "781-464-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HYPERTENSION & KIDNEY CONSULTANTS OF GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "TRUESDELL",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-937-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300033676A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.