PEACH STATE NEPHROLOGY
NPI 1679773774
Internal Medicine - Nephrology in Griffin, GA

Active since July 18, 2007
619 S 8TH ST STE 100, GRIFFIN, GA 30224(678) 248-2899 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peach State Nephrology NPPES

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

PEACH STATE NEPHROLOGY (NPI 1679773774) is a healthcare organization registered as a nephrology in Griffin, Georgia and active in the NPI registry since July 2007. The organization lists Sonu Gupta Singh, Owner, as its authorized official.

NPPES Registry Identity

NPI1679773774
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePEACH STATE NEPHROLOGY
Location Address619 S 8TH ST STE 100Griffin, GA 30224-4260
Mailing Address619 S 8th St Ste 100Griffin, GA 30224-4260 · (678) 248-2899
Organization SubpartNo
Authorized OfficialSonu Gupta SinghOwner · (678) 371-4281
Enumeration DateJuly 18, 2007
Last NPPES UpdateJune 5, 2020
NPPES CertifiedJune 5, 2020
✔ NPI 1679773774 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.
619 S 8TH ST STE 100, Griffin, GA 30224

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Peach State Nephrology, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1295563278
619 S 8TH ST STE 100
Griffin, GA 30224
(678) 248-2899
✔ PECOSSame address
Nurse Practitioner
NPI 1396196176
608 S 8TH ST
Griffin, GA 30224
(678) 248-2899
✔ PECOSSame address
Nephrology
NPI 1033490743
604A S 8TH ST
Griffin, GA 30224
(678) 248-2899
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1366477424
604 S 8TH ST SUITE A
Griffin, GA 30224
(678) 248-2899
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1427624337
619 S 8TH ST STE 100
Griffin, GA 30224
(678) 248-2899
✔ PECOS✔ Accepts Medicare0.1 mi
Nephrology
NPI 1124258843
1120 15TH ST
Augusta, GA 30912
(706) 721-8623
✔ PECOS✔ Accepts Medicare133 mi

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 Peach State Nephrology's NPI number?

The NPI number for Peach State Nephrology is 1679773774. It was assigned to this organization in the NPPES registry on July 18, 2007.

Where is Peach State Nephrology located?

Peach State Nephrology is located at 619 S 8th St Ste 100, Griffin, GA 30224. The listed phone number is (678) 248-2899.

What is Peach State Nephrology's specialty?

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

Is Peach State Nephrology enrolled in Medicare?

Yes. Peach State Nephrology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peach State Nephrology?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Peach State Nephrology. 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. The largest specialties are Nephrology (4) and Nurse Practitioner (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peach State Nephrology accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Peach State Nephrology 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 Peach State Nephrology was last updated on June 5, 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.