EASTSIDE PREMIER NEPHROLOGY & HYPERTENSION PC
NPI 1104048651
Internal Medicine - Nephrology in Conyers, GA

Q: What is Eastside Premier Nephrology & Hypertension PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since May 03, 2007

1612 MILSTEAD RD NE, SUITE A, CONYERS, GA 30012(678) 413-3261(678) 413-3580 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Eastside Premier Nephrology & Hypertension Pc NPPES

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

EASTSIDE PREMIER NEPHROLOGY & HYPERTENSION PC (NPI 1104048651) is a healthcare organization registered as a nephrology in Conyers, Georgia and active in the NPI registry since May 2007. The organization lists Oladapo Falase, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104048651

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameEASTSIDE PREMIER NEPHROLOGY & HYPERTENSION PC

Location Address1612 MILSTEAD RD NE, SUITE AConyers, GA 30012-3738

Mailing AddressPo Box 1157Covington, GA 30015-1157 · (678) 413-3261 · Fax (678) 413-3580

Phone(678) 413-3261

Fax(678) 413-3580

Organization SubpartNo

Authorized OfficialOladapo FalaseOffice Manager · (678) 413-3261

Enumeration DateMay 3, 2007

Last NPPES UpdateMarch 22, 2011

✔ NPI 1104048651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in GA · 044714

Definition

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.

1612 MILSTEAD RD NE, Conyers, GA 30012

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

DR. SITHARAM CHOWDARY NANDIGAM MD

Internal Medicine (Nephrology)

1612 MILSTEAD RD NE, SUITE A
CONYERS, GA 30012

Rockdale County (678) 413-3261

DR. EKUNDAYO ADEDAPO FALASE MD

Internal Medicine (Nephrology)

1612 MILSTEAD RD NE, SUITE A
CONYERS, GA 30012

Rockdale County (678) 413-3261

YILIKAL TASSEW KASSA MD

Internal Medicine (Nephrology)

1612 MILSTEAD RD NE, SUITE A
CONYERS, GA 30012

Rockdale County (678) 413-3261

SURGICAL ASSOICATES OF METRO ATLANTA, LLC

Surgery

1612 MILSTEAD RD NE
CONYERS, GA 30012

Rockdale County (770) 602-1292

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 Eastside Premier Nephrology & Hypertension PC's NPI number?

The NPI number for Eastside Premier Nephrology & Hypertension PC is 1104048651. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Eastside Premier Nephrology & Hypertension PC located?

Eastside Premier Nephrology & Hypertension PC is located at 1612 Milstead Rd NE Suite A, Conyers, GA 30012. The listed phone number is (678) 413-3261.

What is Eastside Premier Nephrology & Hypertension PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does Eastside Premier Nephrology & Hypertension PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Eastside Premier Nephrology & Hypertension PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eastside Premier Nephrology & Hypertension PC was last updated on March 22, 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.