NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC (NPI# 1790125078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790125078 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC |
| Other Organization Name | NORTH FLORIDA KIDNEY CARE |
| Practice Address |
2216 Nw 40th Ter Gainesville FL 32605-3573 |
| Mailing Address |
1840 E Ray Rd Chandler AZ 85225-8720 |
| Practice Telephone | 3528887500 |
| Practice Fax Number | 3523721364 |
| Mailing Telephone | 8553970197 |
| Mailing Fax Number | 8002726512 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | JENNIE PETERSON (PRESIDENT) |
| Authorized Official Telephone | 3038766486 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 274957201 | 05 |
| Other Name | Type Code |
|---|---|
| North Florida Kidney Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 Sw Stonegate Ter, 105, Lake City, FL 320243463 | 3867526107 | |
| 221 Sw Stonegate Ter Ste 105, Lake City, FL 320243463 | 3867526107 | |
| 511 W Towles Ave Ste 3, Palatka, FL 321771429 | 3868669100 | 3868661900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679533012 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 880 E 3900 S, Ste B, Salt Lake City, UT 84107-2151 | 2006-03-27 |
| 1093775645 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 1050 W Elm St, Ste 160, Hermiston, OR 97838 | 2006-03-27 |
| 1285694836 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 1627 Cole Blvd Bldg 18, Lakewood, CO 80401-3315 | 2006-03-27 |
| 1740706951 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 334 Smith Ave, Thomasville, GA 31792-5533 | 2017-08-18 |
| 1689827370 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 638 N Webb Rd, Suite B, Grand Island, NE 68803-4057 | 2008-10-28 |
| 1285674515 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 307 N 46th St, Lincoln, NE 68503-3714 | 2006-06-07 |
| 1841230174 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30045-7418 | 2006-06-07 |
| 1760442107 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 6 Jungermann Circle, Ste 215, Saint Peters, MO 63376-1626 | 2006-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Nephrology Medical Associates of Georgia LLC | 2000 16th St, Denver, Colorado 80202 |
| Street Address |
2216 NW 40TH TER |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-3573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770575748 | John Thomas Beckum | Optometrist | 2216 Nw 40th Ter, Ste B, Gainesville, FL 32605-3573 | 2005-08-16 |
| 1821301144 | Fernando A Lopez Osma | Internal Medicine | 2216 Nw 40th Ter, Gainesville, FL 32605-3573 | 2010-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| 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 |
|---|---|---|---|---|
| 1417376492 | Madonna Ho | Internal Medicine | 1601 Sw Archer Rd # 111g, Gainesville, FL 32608-1135 | 2014-04-07 |
| 1376618645 | Ayesha Kaleem | Internal Medicine | 4423 Nw 6th Pl Ste A, Suite A, Gainesville, FL 32607-6116 | 2006-11-22 |
| 1962509422 | Carlos Lopez-nieto | Internal Medicine | 4423 Nw 6th Place, Suite A, Gainesville, FL 32607-6115 | 2006-09-19 |
| 1205834207 | Harold R Locay | Internal Medicine | 6520 Nw 9th Blvd, Gainesville, FL 32605-4205 | 2005-07-13 |
| 1942203138 | Lalitha Bandi | Internal Medicine | 663 Lanier Park Dr, Gainesville, GA 30501-2059 | 2005-05-23 |
| 1104287507 | Donna June Klement | Internal Medicine | 800 W Highway 82, Gainesville, TX 76240-2524 | 2016-03-11 |
| 1861832263 | Muhannad A Leghrouz | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-06-28 |
| 1992001523 | Dimpu Mukesh Patel | Internal Medicine | 663 Lanier Park Dr, Gainesville, GA 30501-2059 | 2011-01-29 |
| 1083921183 | Montish Singla | Internal Medicine | 663 Lanier Park Dr, Gainesville, GA 30501-2059 | 2010-09-10 |
| 1588981187 | Kidney Care Center of Georgia LLC | Internal Medicine | 663 Lanier Park Dr, Gainesville, GA 30501-2059 | 2010-04-23 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC.
| 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.