NPIMap

Organization Active NPI

Nephrology Medical Associates of Georgia LLC

Doing business as DaVita Nephrology Partners

  • Nephrology Physician
  • Saint Peters, MO
National Provider Identifier
1760442107
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Doing business as
DaVita Nephrology Partners
Practice address
6 Jungermann Circle
Ste 215
Saint Peters, MO 63376-1626
Phone
(636) 970-0249
Fax
(636) 970-0269
NPI assigned
Mar 27, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Gary William Bell
Title
Vice President & Controller
Phone
(800) 310-4872

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

6 Jungermann Circle
Ste 215
Saint Peters, MO 63376-1626

Mailing address

PO Box 2355
Tacoma, WA 98401
Phone (800) 310-4872

Other names 1

  • DaVita Nephrology Partners Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davita Kidney Specialists of Alabama5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760442107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2355",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98401",
            "telephone_number": "800-310-4872",
            "fax_number": "877-328-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIRCLE",
            "address_2": "STE 215",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761626",
            "telephone_number": "636-970-0249",
            "fax_number": "636-970-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT & CONTROLLER",
        "authorized_official_telephone_number": "800-310-4872",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DaVita Nephrology Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.