Ekundayo A Falase
EASTSIDE PREMIER NEPHROLOGY AND HYPERTENSION PC


Address: 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738
Phone: 6784133261

Ekundayo A Falase (NPI# 1053314823, PAC ID# 1153214036) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1053314823
PAC ID by PECOS 1153214036
Professional Enrollment ID I20040204000850
Full Name Ekundayo A Falase
Organization Legal Name EASTSIDE PREMIER NEPHROLOGY AND HYPERTENSION PC
Address 1612 Milstead Rd
Suite A
Conyers
GA 30012-3738
Phone Number 6784133261
Gender M
Credential MD
Graduation Year 1979
Primary Specialty NEPHROLOGY
Group Practice PAC ID 5991735037
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110046 CLEARVIEW REGIONAL MEDICAL CENTER
110018 PIEDMONT NEWTON HOSPITAL

Other Locations

Address Phone Organization
1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 6784133261 EASTSIDE PREMIER NEPHROLOGY AND HYPERTENSION PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name EASTSIDE PREMIER NEPHROLOGY AND HYPERTENSION PC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Sitharam Chowdary Nandigam Nephrology Eastside Premier Nephrology and Hypertension PC 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738
Yilikal Tassew Kassa Nephrology Eastside Premier Nephrology and Hypertension PC 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738
Nardos Ketema Belayneh Nephrology Eastside Premier Nephrology and Hypertension PC 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738

Office Location

Street Address 1612 MILSTEAD RD
SUITE A
City CONYERS
State GA
Zip 30012-3738

Physicians in the same location

Name Specialty Organization Address
Sitharam Chowdary Nandigam Nephrology Eastside Premier Nephrology and Hypertension PC 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738
Yilikal Tassew Kassa Nephrology Eastside Premier Nephrology and Hypertension PC 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738
Nardos Ketema Belayneh Nephrology Eastside Premier Nephrology and Hypertension PC 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738

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Name Specialty Organization Address
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Bert T Chen Urology Georgia Urology, Pa 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812
Froylan C Gonzales Urology Georgia Urology, Pa 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812
Kisha Adderley Nurse Practitioner Rockdale Physician Practices LLC 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812
George Isshak Vascular Surgery Rockdale Physician Practices LLC 1301 Sigman Rd Ne, Conyers, GA 30012-3812
Erikaa L Mann Physician Assistant Rockdale Physician Practices LLC 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812
Erin C Mayfield Obstetrics/gynecology Rockdale Physician Practices LLC 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812
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Competitor

Search similar physicians

City CONYERS
Zip Code 30012
Specialty NEPHROLOGY
City + Specialty CONYERS + NEPHROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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