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

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: August 09, 2026.

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

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

Other Providers at the Same Location NPPES 2

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

DR. CHUDAMANI RAO POLKAMPALLY M.D.
Internal Medicine (Nephrology)
225 COUNTRY CLUB DR STE 140
STOCKBRIDGE, GA 30281
Henry County (770) 415-5889
GLADYS M BRIMAH
Nurse Practitioner
225 COUNTRY CLUB DR STE 140
STOCKBRIDGE, GA 30281
Henry County (770) 415-5889

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.

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.