ATEKHA NEPHROLOGY CLINIC – NPI #1285767434
Internal Medicine

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.

ATEKHA NEPHROLOGY CLINIC is a provider located in STATESBORO, GA. NPPES has assigned the NPI number 1285767434 to ATEKHA NEPHROLOGY CLINIC on March 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 10 years ago on Feb 09, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATEKHA NEPHROLOGY CLINIC below.

NPI Profile for
ATEKHA NEPHROLOGY CLINIC

NPI Number
1285767434
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATEKHA NEPHROLOGY CLINIC
Primary location
1030 BERMUDA RUN
STATESBORO, GA 30458-0858
Phone: (912) 764-8396 Fax: (912) 764-7188
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
COURAGE ATEKHA
PHYSICIAN
Phone: (912) 764-8396
Updated
Identifiers

Identifiers for ATEKHA NEPHROLOGY CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDGA000933413K
MEDICAIDGA000933413P
MEDICAIDGA000933413M
MEDICAIDGA000933413N
MEDICAIDGA000933413L
MEDICAIDGA000933413O
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
GA 049266

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.