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PREMIER NEPHROLOGY AND HYPERTENSION LLC
NPI 1316712672
Internal Medicine - Nephrology in Marietta, GA

Active since November 16, 2023CLIA 11D2304877 · Waiver
540 POWDER SPRINGS ST, BUILDING E, SUITE 29, MARIETTA, GA 30064(770) 470-3319 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Nephrology And Hypertension Llc NPPES

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

PREMIER NEPHROLOGY AND HYPERTENSION LLC (NPI 1316712672) is a healthcare organization registered as a nephrology in Marietta, Georgia and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Sandeep Jaglan, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1316712672
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePREMIER NEPHROLOGY AND HYPERTENSION LLC
Location Address540 POWDER SPRINGS ST, BUILDING E, SUITE 29Marietta, GA 30064-3549
Mailing Address540 Powder Springs St Ste 29Marietta, GA 30064-3549 · (770) 470-3319
Phone(770) 470-3319
Organization SubpartNo
Authorized OfficialSandeep JaglanPhysician/owner · (770) 296-9768
Enumeration DateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1316712672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedNurse PractitionerTaxonomy 363L00000X
540 POWDER SPRINGS ST, Marietta, GA 30064
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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

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 11D2304877

Premier Nephrology And Hypertension LLC · Marietta, GA
Active · expires May 20, 2028
CLIA Number11D2304877
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorJaglan Sandeep
Laboratory Phone(770) 470-3319
Laboratory LocationPremier Nephrology And Hypertension LLC540 Powder Springs Street, Bldg E, Suite 29, Marietta, GA 30064
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 2

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

ERICA FORTINA
Social Worker (Clinical)
540 POWDER SPRINGS ST, C-17
MARIETTA, GA 30064
Cobb County (470) 502-6310
INNER DEVELOPMENT LLC
Counselor (Mental Health)
540 POWDER SPRINGS ST
MARIETTA, GA 30064
Cobb County (678) 255-8444

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 Premier Nephrology And Hypertension LLC's NPI number?

The NPI number for Premier Nephrology And Hypertension LLC is 1316712672. It was assigned to this organization in the NPPES registry on November 16, 2023.

Where is Premier Nephrology And Hypertension LLC located?

Premier Nephrology And Hypertension LLC is located at 540 Powder Springs St Building E, Suite 29, Marietta, GA 30064. The listed phone number is (770) 470-3319.

What is Premier Nephrology And Hypertension LLC's specialty?

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

Does Premier Nephrology And Hypertension LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2304877) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Nephrology And Hypertension LLC was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.