PEACHLAND NEPHROLOGY & HYPERTENSION,PC
NPI 1740403690
Internal Medicine - Nephrology in Austell, GA

Q: What is Peachland Nephrology & Hypertension,pc's specialty?

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

Active since April 10, 2007

1668 MULKEY RD, SUITE G, AUSTELL, GA 30106(770) 944-8494(678) 945-7401 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Peachland Nephrology & Hypertension,pc NPPES

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

PEACHLAND NEPHROLOGY & HYPERTENSION,PC (NPI 1740403690) is a healthcare organization registered as a nephrology in Austell, Georgia and active in the NPI registry since April 2007. The organization lists Nega Woldehawariat, Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1740403690

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NamePEACHLAND NEPHROLOGY & HYPERTENSION,PC

Location Address1668 MULKEY RD, SUITE GAustell, GA 30106-1143

Mailing Address6300 Powers Ferry Rd Nw, Suite 600-112Atlanta, GA 30339-2919 · (770) 944-8494 · Fax (678) 945-7401

Phone(770) 944-8494

Fax(678) 945-7401

Organization SubpartNo

Authorized OfficialNega WoldehawariatMedical Officer · (770) 944-8494

Enumeration DateApril 10, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1740403690 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 · 051570

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.

1668 MULKEY RD, Austell, GA 30106

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peachland Nephrology & Hypertension,pc 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 Peachland Nephrology & Hypertension,pc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nega Woldehawariat, M.D.

Nephrology

NPI 1437210358

1668 MULKEY RD STE G
Austell, GA 30106

(770) 944-8494

✔ 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 Peachland Nephrology & Hypertension,pc's NPI number?

The NPI number for Peachland Nephrology & Hypertension,pc is 1740403690. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Peachland Nephrology & Hypertension,pc located?

Peachland Nephrology & Hypertension,pc is located at 1668 Mulkey Rd Suite G, Austell, GA 30106. The listed phone number is (770) 944-8494.

What is Peachland Nephrology & Hypertension,pc's specialty?

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

Is Peachland Nephrology & Hypertension,pc enrolled in Medicare?

Yes. Peachland Nephrology & Hypertension,pc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peachland Nephrology & Hypertension,pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Peachland Nephrology & Hypertension,pc. 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.

When was this NPI record last updated?

The NPPES record for Peachland Nephrology & Hypertension,pc was last updated on August 22, 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.