Northeast Georgia Nephrology & Hypertension Clinic, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

039351 Issued in GA

Legal business name

NORTHEAST GEORGIA NEPHROLOGY & HYPERTENSION CLINIC, PC

Practice address

1270 Prince Ave
Suite 306
Athens, GA 30606-2762

Phone

(706) 546-9911

Fax

(706) 546-0102

NPI assigned

Aug 3, 2006

Last updated

Aug 22, 2020By 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

Dr. Geoffrey H Golembiewski, M.D.

Title

President

Phone

(706) 546-9911

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Humaira Khawaja Chaudhary, M.D.

  • Nephrology Physician
  • Sugar Land, TX
  • NPI 1912904996
  NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700894904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 PRINCE AVE",
            "address_2": "SUITE 306",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062762",
            "telephone_number": "706-546-9911",
            "fax_number": "706-546-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 PRINCE AVE",
            "address_2": "SUITE 306",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062762",
            "telephone_number": "706-546-9911",
            "fax_number": "706-546-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA NEPHROLOGY & HYPERTENSION CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLEMBIEWSKI",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-546-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "039351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Athens, GA
• Providers in Athens, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.