Organization
NORTH GEORGIA NEPROLOGY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAIMA BASHIR (OFFICE MANAGER)
(706) 227-4075
Entity
Organization
Contact information
Practice address
5105 JEFFERSON ROAD, SUITE B, ATHENS, GA 30607-1720
(706) 227-4075
(706) 227-4086
Mailing address
5105 JEFFERSON RD, SUITE # B, ATHENS, GA 30607-1701
(706) 227-4075
(706) 227-4086
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
050865
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000935789A
—
GA
05
—
000935789D
—
GA
05
—
000935789E
—
GA
05
—
000935789F
—
GA
01
—
10035054
AMERIGROUP
GA
01
—
2917383
AETNA HMO
GA
01
—
3100152
UNITED HEALTH
GA
01
—
460374361A
GBHC
GA
01
—
52834554005
BCBS
GA
01
—
5628203
AETNA PPO
GA
01
—
GRP5128
MEDICARE GROUP NUMBER
GA
01
—
P00076801
MEDICARE RAIL ROAD
GA
Enumeration date
02/22/2007
Last updated
05/30/2025
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