ATEKHA NEPHROLOGY CLINIC
NPI 1285767434
Internal Medicine - Nephrology in Statesboro, GA

Active since March 14, 2007CLIA 11D1099648 · Waiver
1030 BERMUDA RUN, STATESBORO, GA 30458(912) 764-8396(912) 764-7188 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Atekha Nephrology Clinic NPPES

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

ATEKHA NEPHROLOGY CLINIC (NPI 1285767434) is a healthcare organization registered as a nephrology in Statesboro, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Courage A Atekha, Physician, as its authorized official.

NPPES Registry Identity

NPI1285767434
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameATEKHA NEPHROLOGY CLINIC
Location Address1030 BERMUDA RUNStatesboro, GA 30458-0858
Mailing Address1030 Bermuda RunStatesboro, GA 30458-0858 · (912) 764-8396 · Fax (912) 764-7188
Fax(912) 764-7188
Organization SubpartNo
Authorized OfficialCourage A AtekhaPhysician · (912) 764-8396
Enumeration DateMarch 14, 2007
Last NPPES UpdateFebruary 9, 2016
✔ NPI 1285767434 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 · 049266
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.
1030 BERMUDA RUN, Statesboro, GA 30458

Other Identifiers 8

Medicaid000933413MGA
Medicaid000933413KGA
Medicare UPINH33326
Medicare ID-Type Unspecified39BDCLG GRP7175Provider Id Group Id
Medicaid000933413OGA
Medicaid000933413PGA
Medicaid000933413NGA
Medicaid000933413LGA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atekha Nephrology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Atekha Nephrology Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nephrology
NPI 1124119219
1030 BERMUDA RUN
Statesboro, GA 30458
(912) 764-8396
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245782325
1030 BERMUDA RUN
Statesboro, GA 30458
(248) 504-7699
✔ PECOSSame address

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

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 11D1099648

Atekha Nephrology Clinic · Statesboro, GA
Active · expires May 18, 2027
CLIA Number11D1099648
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorCourage A. Atekha
Laboratory Phone(912) 764-8396
Laboratory LocationAtekha Nephrology Clinic1030 Bermuda Run Road, Statesboro, GA 30458
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Atekha Nephrology Clinic's NPI number?

The NPI number for Atekha Nephrology Clinic is 1285767434. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Atekha Nephrology Clinic located?

Atekha Nephrology Clinic is located at 1030 Bermuda Run, Statesboro, GA 30458. The listed phone number is (912) 764-8396.

What is Atekha Nephrology Clinic's specialty?

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

Is Atekha Nephrology Clinic enrolled in Medicare?

Yes. Atekha Nephrology Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atekha Nephrology Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Atekha Nephrology Clinic, in Nephrology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Atekha Nephrology Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1099648) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atekha Nephrology Clinic accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Atekha Nephrology Clinic 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 Atekha Nephrology Clinic was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.