NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, PC (NPI# 1437229309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437229309 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, PC |
| Other Organization Name | NEPHROLOGY AND ENDOCRINOLGY CONSULTANTS |
| Practice Address |
111 Colonial Way Ste 2 Jesup GA 31545-0132 |
| Mailing Address |
208 Scranton Connector Suite 117 Brunswick GA 31525-0559 |
| Practice Telephone | 9125881919 |
| Practice Fax Number | 9123547569 |
| Mailing Telephone | 9122645961 |
| Mailing Fax Number | 9122629499 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | TRISH G ROTUREAU (OPERATION MANAGER) |
| Authorized Official Telephone | 9126505450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
026402 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000291079K | 05 | |
| GA | 000291079Z | 05 | |
| GA | 000291079A | 05 | |
| GA | 000291079M | 05 | |
| GA | 000291079O | 05 | |
| GA | 630423104C | 05 | |
| GA | MEDICARE GROUP | GRP2930 | 01 |
| GA | 630423104A | 05 | |
| GA | 000291079Q | 05 |
| Other Name | Type Code |
|---|---|
| Nephrology and Endocrinolgy Consultants | Other Name - Individual/Organization |
| Street Address |
111 COLONIAL WAY STE 2 |
| City | JESUP |
| State | GA |
| Zip Code | 31545-0132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831204478 | Charles Thomas Tucker | Internal Medicine | 111 Colonial Way Ste 2, Jesup, GA 31545-0132 | 2006-08-21 |
| 1730663857 | Nephrology and Hypertension Medical Associates PC | Specialist | 111 Colonial Way Ste 2, Jesup, GA 31545-0132 | 2018-09-25 |
| 1811042815 | Wynne Kendra Lott | Physician Assistant | 111 Colonial Way Ste 2, Jesup, GA 31545 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| 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 |
|---|---|---|---|---|
| 1831204478 | Charles Thomas Tucker | Internal Medicine | 111 Colonial Way Ste 2, Jesup, GA 31545-0132 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053968511 | Gwinnett Nephrology LLC | Internal Medicine | 1567 Janmar Rd Ste 100, Snellville, GA 30078-0308 | 2019-08-20 |
| 1063070654 | Kidney Specialists of Georgia PC | Internal Medicine | 575 Professional Dr Ste 290, Lawrenceville, GA 30046-3347 | 2019-05-30 |
| 1295219103 | Renal Associates of Lagrange LLC | Internal Medicine | 1300 Lafayette Pkwy Ste D, Lagrange, GA 30241-2610 | 2018-09-18 |
| 1912484395 | Atlanta Kidney Care LLC | Internal Medicine | 1462 Montreal Rd Ste 214, Tucker, GA 30084-6931 | 2018-07-27 |
| 1932591948 | Georgia Renal and Hypertension Care Inc | Internal Medicine | 928 S Park St, Suite H, Carrollton, GA 30117-4501 | 2015-02-27 |
| 1316344492 | Oconee Nephrology Associates, Inc. | Internal Medicine | 700 Oglethorpe Ave., Suite B1, Athens, GA 30606 | 2014-12-04 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1306265384 | Srikar Kumar | Internal Medicine | 250 Village Center Pkwy Ste 100, Stockbridge, GA 30281-9104 | 2014-04-07 |
| 1477995868 | Moti Samaki | Internal Medicine | 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606-2184 | 2013-07-25 |
| 1902143233 | Barry Jay Rosenbaum | Internal Medicine | 2000 Castleway Dr Ne, Atlanta, GA 30345-3914 | 2013-01-07 |
| Find all providers with the same taxonomy | ||||
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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.