Active NPI
Hypertension & Kidney Consultants of Georgia PC
- Nephrology Physician
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300033676A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0993807 | Hypertension and Kidney Consultants of Georgia | Certificate of waiver | Nov 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Suwanee, GA
- NPI 1508854811
-
- Nurse Practitioner
- Suwanee, GA
- NPI 1437875879
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.