NPIMap

Organization Active NPI

Nephrology Medical Associates of Georgia LLC

Doing business as Nephrology Medical Associates of Georgia

  • Nephrology Physician
  • Lawrenceville, GA
National Provider Identifier
1841230174
Registry record updated Nov 13, 2008
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
Nephrology Medical Associates of Georgia
Practice address
170 Camden Hill Rd
Suite F
Lawrenceville, GA 30045-7418
Phone
(770) 339-4225
Fax
(770) 339-4797
NPI assigned
Jun 7, 2006
Last updated
Nov 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Mr. Anthony E Gabriel
Title
Vice President & Controller
Phone
(303) 626-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

170 Camden Hill Rd
Suite F
Lawrenceville, GA 30045-7418

Mailing address

1627 Cole Blvd BLDG 182ND
Lakewood, CO 80401-3315
Phone (303) 626-6000

Other identifiers 1

IdentifierTypeStateIssuer
300043495AMedicaidGA

Other names 1

  • Nephrology Medical Associates of Georgia Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1627 Cole Blvd
Bldg 182ND
Lakewood, CO 80401

1218 Dantignac St
Augusta, GA 30901
Phone (706) 724-4045

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1841230174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 COLE BLVD BLDG 182ND",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013315",
            "telephone_number": "303-626-6000",
            "fax_number": "866-352-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CAMDEN HILL RD",
            "address_2": "SUITE F",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457418",
            "telephone_number": "770-339-4225",
            "fax_number": "770-339-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT & CONTROLLER",
        "authorized_official_telephone_number": "303-626-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300043495A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nephrology Medical Associates of Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.