EAGLES LANDING NEPHROLOGY AND HYPERTENSION LLC
NPI 1205294378
Internal Medicine - Nephrology in Stockbridge, GA

Q: What is Eagles Landing Nephrology And Hypertension LLC's specialty?

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

Active since February 04, 2016

225 COUNTRY CLUB DR STE 140, STOCKBRIDGE, GA 30281(770) 415-5889(770) 415-5890 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2016, Feb 4, 2016 (2 updates tracked since 2016).

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About Eagles Landing Nephrology And Hypertension Llc NPPES

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

EAGLES LANDING NEPHROLOGY AND HYPERTENSION LLC (NPI 1205294378) is a healthcare organization registered as a nephrology in Stockbridge, Georgia and active in the NPI registry since February 2016. The organization lists Chudamani Rao Polkampally, Owner, as its authorized official.

NPPES Registry Identity

NPI1205294378

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameEAGLES LANDING NEPHROLOGY AND HYPERTENSION LLC

Location Address225 COUNTRY CLUB DR STE 140Stockbridge, GA 30281-7392

Mailing Address225 Country Club Dr Ste 140Stockbridge, GA 30281-7392 · (770) 415-5889

Phone(770) 415-5889

Fax(770) 415-5890

Organization SubpartNo

Authorized OfficialChudamani Rao PolkampallyOwner · (770) 415-5889

Enumeration DateFebruary 4, 2016

Last NPPES UpdateApril 30, 20202 updates tracked since enumeration

NPPES CertifiedApril 30, 2020

✔ NPI 1205294378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

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.

225 COUNTRY CLUB DR STE 140, Stockbridge, GA 30281

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eagles Landing Nephrology And Hypertension Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eagles Landing Nephrology And Hypertension LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chudamani Polkampally, M.D.

Nephrology

NPI 1275620452

225 COUNTRY CLUB DR STE 140
Stockbridge, GA 30281

(770) 415-5889

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eagles Landing Nephrology And Hypertension LLC's NPI number?

The NPI number for Eagles Landing Nephrology And Hypertension LLC is 1205294378. It was assigned to this organization in the NPPES registry on February 4, 2016.

Where is Eagles Landing Nephrology And Hypertension LLC located?

Eagles Landing Nephrology And Hypertension LLC is located at 225 Country Club Dr Ste 140, Stockbridge, GA 30281. The listed phone number is (770) 415-5889.

What is Eagles Landing Nephrology And Hypertension LLC's specialty?

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

Is Eagles Landing Nephrology And Hypertension LLC enrolled in Medicare?

Yes. Eagles Landing Nephrology And Hypertension LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eagles Landing Nephrology And Hypertension LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Eagles Landing Nephrology And Hypertension LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eagles Landing Nephrology And Hypertension LLC accept?

Health plans from Ambetter Health list Eagles Landing Nephrology And Hypertension LLC 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 Eagles Landing Nephrology And Hypertension LLC was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.