Active NPI
Linus Onyemaechi Ejim, M.D.
- Nephrology Physician
- Sandersville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 050617
- Practice address
- 516 Sparta Rd
Sandersville, GA 31082-1859 - Phone
- (478) 552-1200
- Fax
- (478) 552-5600
- NPI assigned
- Aug 25, 2005
- Last updated
- Jul 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 050617 | GA | Primary |
Addresses
Primary practice location
516 Sparta Rd
Sandersville, GA 31082-1859
Mailing address
516 Sparta Road
P.O.Box 761
Sandersville, GA 31082
Phone (478) 552-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
516 Sparta Rd
Sandersville, GA 31082-1859
Phone (478) 552-1200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandersville Hypertension & Nephrology PC | Nephrology | Current | Accepting new patients |
| Agape Community Integrated Health Systems, Inc | Current | Accepting new patients | |
| Smith Medical Nursing Care Center, Inc | Past | Accepting new patients |
Locations
5536 Old National Hwy
Ste 100
College Park, GA 30349
Phone (404) 564-4796
516 Sparta Rd
Sandersville, GA 31082
Phone (478) 552-1200
Interoperability endpoints
- lejim433567@carolinashealthcaresystem.direct-ci.com
- linus.ejim@direct.davitaphysiciansolutions.com
- linus.ejim@oconeeregional.gadirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Sandersville, GA
- NPI 1063693463
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlanta, GA
- NPI 1578090601
-
- Skilled Nursing Facility
- Sandersville, GA
- NPI 1114914785
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Washington County Regional Medical Center
- Rural Acute Care Hospital
- Sandersville, GA
- NPI 1396770004
-
- Physical Therapy Clinic/Center
- Sandersville, GA
- NPI 1528619491
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1922091990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 SPARTA ROAD",
"address_2": "P.O.BOX 761",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "31082",
"telephone_number": "478-552-1200",
"fax_number": "866-306-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 SPARTA RD",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "310821859",
"telephone_number": "478-552-1200",
"fax_number": "478-552-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJIM",
"first_name": "LINUS",
"middle_name": "ONYEMAECHI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "050617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.