GEORGIA RENAL ASSOCIATES, PC (NPI# 1780851436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780851436 |
| Entity Type | Organization |
| Organization Name | GEORGIA RENAL ASSOCIATES, PC |
| Practice Address |
1500 Oglethorpe Ave Suite 500c Athens GA 30606-2179 |
| Mailing Address |
Po Box 7335 Athens GA 30604-7335 |
| Practice Telephone | 7065467484 |
| Practice Fax Number | 7065467488 |
| Mailing Telephone | 7065467484 |
| Mailing Fax Number | 7065467488 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2012-02-19 |
| Authorized Official Name | SRILAKSHMI REBALA (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 7065467484 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
051081 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 261448399A | 05 |
| Street Address |
1500 OGLETHORPE AVE SUITE 500C |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749925 | Joy B Chastain | Specialist | 1500 Oglethorpe Ave, Ste 3000, Athens, GA 30606-2190 | 2005-06-10 |
| 1467957787 | Vandana Yanamadala | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Athens, GA 30606-2179 | 2018-03-28 |
| 1932604899 | Jamila-duyen Phuong Pham | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Athens, GA 30606-2179 | 2018-03-23 |
| 1295266484 | Yousef Treki | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179 | 2017-03-21 |
| 1073054409 | Jacob Sloan Kopp | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179 | 2017-03-18 |
| 1205377629 | Jane Mangwi Fon-ndikum | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Community Internal Medicine of Athens, Ste 200d, Athens, GA 30606-2179 | 2017-03-17 |
| 1255793600 | Martin Kagira | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179 | 2016-03-24 |
| 1548654015 | Soma Mandal | Internal Medicine | 1500 Oglethorpe Ave, Building 200d, Athens, GA 30606-2179 | 2015-03-23 |
| 1659765287 | Tenzing Phanthok | Internal Medicine | 1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179 | 2015-03-20 |
| 1801292412 | Melissa Margaret Cannon | Physician Assistant | 1500 Oglethorpe Ave, Suite 3000, Athens, GA 30606-2179 | 2014-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316344492 | Oconee Nephrology Associates, Inc. | Internal Medicine | 700 Oglethorpe Ave., Suite B1, Athens, GA 30606 | 2014-12-04 |
| 1477995868 | Moti Samaki | Internal Medicine | 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606-2184 | 2013-07-25 |
| 1275668394 | North Georgia Nephrology Consultants,llc | Internal Medicine | 5105 Jefferson Road, Suite B, Athens, GA 30607-1720 | 2007-02-22 |
| 1467460709 | Geoffrey H. Golembiewski | Internal Medicine | 385 Hawthorne Ln, Ste 200, Athens, GA 30606-2100 | 2006-08-03 |
| 1285652990 | Rene Benjamin Mackay | Internal Medicine | 650 Oglethorpe Ave, Suite #4, Athens, GA 30606-2216 | 2006-07-18 |
| 1700822608 | Abid Bashir | Internal Medicine | 5105 Jefferson Rd, Suite B, Athens, GA 30607-1701 | 2006-06-21 |
| 1962463646 | Athens Nephrology Associates | Internal Medicine | 2047 Prince Ave, Athens, GA 30606-6033 | 2006-03-31 |
| 1487210316 | Kidney Care Center Gwinnett LLC | Internal Medicine | 5105 Jefferson Rd Ste B, Athens, GA 30607-1701 | 2019-05-16 |
| 1821403817 | Amr Habbach | Internal Medicine | 1005 W Market St Ste 16, Athens, AL 35611-2454 | 2014-06-27 |
| 1699022426 | Chandrashekar Kashyap | Internal Medicine | 5105 Jefferson Rd, Suite B, Athens, GA 30607-1701 | 2012-08-10 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.