Organization Active NPI

Athens Nephrology Associates

  • Nephrology Physician
  • Athens, GA
National Provider Identifier
1962463646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ATHENS NEPHROLOGY ASSOCIATES
Practice address
2047 Prince Ave
Athens, GA 30606-6033
Phone
(706) 546-0083
Fax
(706) 613-9205
NPI assigned
Mar 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gautam Dasgupta, MD
Title
Medical Director
Phone
(706) 546-0083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2047 Prince Ave
Athens, GA 30606-6033

Mailing address

2047 Prince Ave
Athens, GA 30606-6033
Phone (706) 546-0083

National Provider Directory

National Provider Directory

Locations

2047 Prince Ave
Athens, GA 30606
Phone (706) 546-0083

2047 Prince Ave
Ste B
Athens, GA 30606
Phone (706) 546-0083

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962463646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066033",
            "telephone_number": "706-546-0083",
            "fax_number": "706-613-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066033",
            "telephone_number": "706-546-0083",
            "fax_number": "706-613-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DASGUPTA",
        "authorized_official_first_name": "GAUTAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-546-0083",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.