Renal Physicians of Georgia PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RENAL PHYSICIANS OF GEORGIA PC

Practice address

165 Emery Hwy
100
Macon, GA 31217-3666

Phone

(478) 741-2150

Fax

(478) 741-2208

NPI assigned

Aug 4, 2005

Last updated

May 2, 2024By 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. Carlos O Martinez, MDNPI 1841368933

Title

President

Phone

(478) 741-2150

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Carlos O Martinez, M.D.

  • Nephrology Physician
  • Macon, GA
  • NPI 1841368933
  Medicare reassignment Care Compare group Authorized official
• Natalie Rodziewicz Guinn, M.D.

  • Nephrology Physician
  • Dublin, GA
  • NPI 1235662305
  Medicare reassignment Care Compare group NPD
• Julia Light, FNP

  • Family Nurse Practitioner
  • Mount Vernon, IL
  • NPI 1730847971

  GA

  Medicare reassignment Care Compare group NPD
• Allison D Williams, FNP-C

  • Family Nurse Practitioner
  • Wrightsville, GA
  • NPI 1194125336
  Medicare reassignment Care Compare group
• Amy E Williams, NP-C

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1851772867
  Medicare reassignment NPD

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1851392476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 EMERY HWY",
            "address_2": "100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173666",
            "telephone_number": "478-741-2150",
            "fax_number": "478-741-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 EMERY HWY",
            "address_2": "100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173666",
            "telephone_number": "478-741-2150",
            "fax_number": "478-741-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL PHYSICIANS OF GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-741-2150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000459841L",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CJ4042",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.