Renal Hypertension Clinic PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RENAL HYPERTENSION CLINIC PC

Practice address

190 Westside Dr
B
Douglas, GA 31533-3533

Phone

(912) 384-7210

Fax

(912) 384-5130

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Akkaraju V.S. Sarma, M.D.,

Title

President

Phone

(912) 384-7210

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1790706455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315342650",
            "telephone_number": "912-384-7210",
            "fax_number": "912-384-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 WESTSIDE DR",
            "address_2": "B",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333533",
            "telephone_number": "912-384-7210",
            "fax_number": "912-384-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL HYPERTENSION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "SARMA",
        "authorized_official_first_name": "AKKARAJU",
        "authorized_official_middle_name": "V.S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-384-7210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00257463E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00257463A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dyapa S Reddy, MD
• Karuna Dyapa Reddy, M.D.
• Candace Matthews Reed, LPC
• Region XI Field Fiscal Office
• Rehabilitation Services of Coffee, Inc
• Renal Treatment Centers - Mid-Atlantic, Inc. (Douglas Home Dialysis)
• Revive Hydration and Functional Health LLC
• Mary Jon Roberson, PA
• Billy Edward Roberts, PA
• Carey Leigh Roberts, NP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.