Cowry Kidney Care Douglasville LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

COWRY KIDNEY CARE DOUGLASVILLE LLC

Practice address

8570 Hospital Dr
Douglasville, GA 30134-2413

Phone

(470) 227-8130

Fax

(470) 747-7588

NPI assigned

Oct 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Chinedu Patrick Nweke, MDNPI 1033341656

Title

Ceo

Phone

(470) 227-8130

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Cowry Kidney Care Douglasville LLCCCN 852605

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jun 6, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

5

Interoperability endpoints

• Direct secure messaging: ckcd@cowryhealth.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chinedu Patrick Nweke, M.D

  • Nephrology Physician
  • Acworth, GA
  • NPI 1033341656
  NPD Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Chinedu Patrick Nweke, M.D

  • Nephrology Physician
  • Acworth, GA
  • NPI 1033341656

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656201600000",
    "number": "1922760602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MARS HILL RD NW STE 120-380",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017127",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 HOSPITAL DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342413",
            "telephone_number": "470-227-8130",
            "fax_number": "470-747-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWRY KIDNEY CARE DOUGLASVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-09",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A",
        "authorized_official_last_name": "NWEKE",
        "authorized_official_first_name": "CHINEDU",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-227-8130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CKCD@COWRYHEALTH.COM",
            "affiliation": "N",
            "endpointDescription": "CONTACT INFORMATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8570 Hospital Dr",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301342413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CowryMedicalGroup.ChineduNweke@138667.advancedmd-direct.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8570 Hospital Dr",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301342413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CowryMedicalGroup.ChineduNweke@138667.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8570 Hospital Dr",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301342413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Douglasville, GA
• Providers in Douglasville, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2022; 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.