NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC (NPI# 1841230174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841230174 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC |
| Other Organization Name | NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA |
| Practice Address |
170 Camden Hill Rd Suite F Lawrenceville GA 30045-7418 |
| Mailing Address |
1627 Cole Blvd Bldg 182nd Lakewood CO 80401-3315 |
| Practice Telephone | 7703394225 |
| Practice Fax Number | 7703394797 |
| Mailing Telephone | 3036266000 |
| Mailing Fax Number | 8663523987 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-11-13 |
| Authorized Official Name | MR. ANTHONY E GABRIEL (VICE PRESIDENT & CONTROLLER) |
| Authorized Official Telephone | 3036266000 |
| 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 |
|---|---|---|---|
| GA | 300043495A | 05 |
| Other Name | Type Code |
|---|---|
| Nephrology Medical Associates of Georgia | Doing Business As Name - Organization |
| 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 |
| 1790125078 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 2216 Nw 40th Ter, Gainesville, FL 32605-3573 | 2013-07-01 |
| 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 |
| 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 |
170 CAMDEN HILL RD SUITE F |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145572 | Jack Stephens Tonge Jr. | Optometrist | 170 Camden Hill Rd, Ste B, Lawrenceville, GA 30045-7418 | 2005-06-22 |
| 1346510013 | Pediatric Neurology and Epilepsy Center | Psychiatry & Neurology | 170 Camden Hill Rd, A, Lawrenceville, GA 30046-7418 | 2012-01-11 |
| 1013229889 | Susan P Whatley | Nurse Practitioner | 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046-7418 | 2010-07-09 |
| 1720110398 | Gwinnett Psychiatry, P.C. | Clinic/Center | 170 Camden Hill Rd, Suite C, Lawrenceville, GA 30046-7418 | 2007-03-09 |
| 1790741114 | Steven M Gorbatkin | Specialist | 170 Camden Hill Rd, Lawrenceville, GA 30045-7418 | 2006-04-25 |
| 1235195652 | David Tong | Specialist | 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30045-7418 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| 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 |
|---|---|---|---|---|
| 1063070654 | Kidney Specialists of Georgia PC | Internal Medicine | 575 Professional Dr Ste 290, Lawrenceville, GA 30046-3347 | 2019-05-30 |
| 1417101189 | Chetana Rondla | Internal Medicine | 595 Hurricane Shoals Road, N.w., Suite 100, Lawrenceville, GA 30046 | 2008-11-07 |
| 1346412012 | Mark A Klausner | Internal Medicine | 2332 Town Ct N, Lawrenceville, NJ 08648-4709 | 2008-04-02 |
| 1023298981 | Franklin D. Diaz, Md, PC | Internal Medicine | 601 A Professional Drive, Suite 200, Lawrenceville, GA 30045-3004 | 2007-11-08 |
| 1407999246 | Franklin Daniel Diaz | Internal Medicine | 601a Professional Drive Ste 225, Lawrenceville, GA 30046-3325 | 2007-02-14 |
| 1295721124 | Meena J. Kavil | Internal Medicine | 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046 | 2005-09-26 |
| 1700881612 | Kirti K Shah | Internal Medicine | 605 Old Norcross Rd, Lawrenceville, GA 30045-4315 | 2005-06-16 |
| 1972507630 | Li-kun Tu | Internal Medicine | 595 Hurricane Shoals Road Suite 100, Lawrenceville, GA 30046 | 2005-06-10 |
| 1306193016 | Ewalola Ayo Ijaduola | Internal Medicine | 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 | 2012-08-13 |
| 1922390830 | Vinod Raman | Internal Medicine | 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 | 2011-05-11 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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.