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DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES
NPI 1013018407
Specialist in Dothan, AL

Active since September 26, 2006CLIA 04D0304709 · Waiver
207 HAVEN DR, DOTHAN, AL 36301(334) 793-3319(334) 793-2291 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dothan Hypertension Nephrology Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES (NPI 1013018407) is a healthcare organization registered as a specialist in Dothan, Alabama and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Ganjur Prakash, Owner, as its authorized official.

NPPES Registry Identity

NPI1013018407
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES
Location Address207 HAVEN DRDothan, AL 36301-2919
Mailing Address207 Haven DriveDothan, AL 36301 · (334) 793-3319 · Fax (334) 793-2291
Phone(334) 793-3319
Fax(334) 793-2291
Organization SubpartNo
Authorized OfficialGanjur PrakashOwner · (334) 793-3319
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMarch 8, 2011
✔ NPI 1013018407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
207 HAVEN DR, Dothan, AL 36301
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Other Identifiers 3

Medicare UPINH91252AL
Medicare UPINC76943AL
Medicare UPINP82902AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D0304709

Dothan Hypertension Nephrology Assoc · Dothan, AL
Active · expires Nov 28, 2027
CLIA Number04D0304709
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorGanjur H. Guru Prakash
Laboratory Phone(334) 793-3319
Laboratory LocationDothan Hypertension Nephrology Assoc207 Haven Drive, Dothan, AL 36301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH ANN MCFARLAND CRNP
Nurse Practitioner (Family)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
MRS. JENNIFER SMITH KIRK CRNP
Nurse Practitioner (Family)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
MRS. STEFANIE L. KINCEY CRNP
Nurse Practitioner
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
NIKKI ILONA BROUSSARD CRNP
Internal Medicine (Nephrology)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (337) 793-3319
DR. VENKAT R NIMMAGADDA M.D.
Internal Medicine (Nephrology)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
RAVINDRANATH V. KANTAMNENI M.D.
Internal Medicine (Nephrology)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
DR. NOWOGHOMWENMA CHARLES IBIE MD
Internal Medicine (Nephrology)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
LINDA HETRICK LPN
Licensed Practical Nurse
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-1964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dothan Hypertension Nephrology Associates's NPI number?

The NPI number for Dothan Hypertension Nephrology Associates is 1013018407. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Dothan Hypertension Nephrology Associates located?

Dothan Hypertension Nephrology Associates is located at 207 Haven Dr, Dothan, AL 36301. The listed phone number is (334) 793-3319.

What is Dothan Hypertension Nephrology Associates's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Dothan Hypertension Nephrology Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0304709) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dothan Hypertension Nephrology Associates was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.