Internal Medicine & Nephrology Associates,PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

020451 Issued in GA

Legal business name

INTERNAL MEDICINE & NEPHROLOGY ASSOCIATES,PC

Practice address

212 Hospital Dr
Washington, GA 30673-5619

Phone

(706) 678-1538

Fax

(706) 678-5330

NPI assigned

Mar 23, 2007

Last updated

Mar 4, 2013By 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

Beeki N Kuppuswamy, M.D.

Title

Doctor

Phone

(706) 678-1538

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1699892729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HOSPITAL DR",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306735619",
            "telephone_number": "706-678-1538",
            "fax_number": "706-678-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HOSPITAL DR",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306735619",
            "telephone_number": "706-678-1538",
            "fax_number": "706-678-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & NEPHROLOGY ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "KUPPUSWAMY",
        "authorized_official_first_name": "BEEKI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "706-678-1538",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "020451",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "020451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000181937A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hospital Authority of Wilkes County (Community Medical Associates of Washington)
• Hospital Authority of Wilkes County (Wills Memorial Hospital)
• Hospital Authority of Wilkes County (Wills Memorial Hospital)
• Jeri L Hucke, RN
• Hulin Transportation, Inc. (Hulin Adult Day Services)
• Jennifer W Jackson, APRN, FNP-C
• Johnson Transporation
• Lester T Johnston Jr., M.D.
• Sandra Marks Legette, P.T.
• Dawn Little-Adams, MD

• Internal Medicine Physician in Washington, GA
• Providers in Washington, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.