Peachtree Nephrology PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

053746 Issued in GA

Legal business name

PEACHTREE NEPHROLOGY PC

Practice address

5673 Peachtree Dunwoody Rd NE
Suite 600
Atlanta, GA 30342-1731

Phone

(404) 410-3970

Fax

(404) 256-0040

NPI assigned

Mar 16, 2012

Last updated

Mar 16, 2012By 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

Mrs. Anupama Gowda, MDNPI 1508947870

Title

Owner

Phone

(404) 410-3970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/c063783f-c1a8-47a6-bf5b-d87d5981e7cb/

Practitioners 11

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.

• Anupama Gowda, M.D.

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1508947870
  Medicare reassignment Care Compare group Authorized official
• Srijita Kumar, M.D.

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1437449741
  Medicare reassignment Care Compare group NPD
• Ayesha Anwar Khan, MD

  • Hospitalist Physician
  • Jacksonville, FL
  • NPI 1093291627

  GA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Shailesh Ram Basani, MD

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1629269972
  Medicare reassignment Care Compare group
• Chandrashekar Kashyap

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1699022426
  Medicare reassignment Care Compare group
• Tarik Lalwani, MD

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1376606087
  Medicare reassignment Care Compare group
• Lauren Gigi Brewington, M.D., M.S.

  • Internal Medicine Physician
  • Suwanee, GA
  • NPI 1134390784
  NPD (past)
• Pradeep Chaganti, M.D.

  • Nephrology Physician
  • Dalton, GA
  • NPI 1255680575

  Single Specialty

  NPD (past)
• Lindsay Rachel Morrison, M.D.

  • Pain Medicine Physician
  • Canton, GA
  • NPI 1780003707
  NPD (past)
• Ronald P Trible Jr., M.D., PH.D.

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1972761328
  NPD (past)
• Margaret Williamson, M.D.

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1093855884
  NPD (past)

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1841565355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421731",
            "telephone_number": "404-410-3970",
            "fax_number": "404-256-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421731",
            "telephone_number": "404-410-3970",
            "fax_number": "404-256-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE NEPHROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "ANUPAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-410-3970",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "053746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Lab Services
• Peachtree Laboratory Associates PC
• Peachtree Medical Equipment LLC (PeachTree DME)
• Peachtree Medical Group Inc
• Peachtree Nephrology Consultants LLC
• Peachtree Neurological Clinic, P.C.
• Peachtree Neurology Associates, P.C.
• Peachtree Neuromonitoring, LLC
• Peachtree Neuropsychological Associates, P.C.
• Peachtree Occupational Medicine & Urgent Care (Peachtree Orthopedic Occupational Medicine-Norcross)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.