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PEACHTREE NEPHROLOGY PC
NPI 1841565355
Internal Medicine - Nephrology in Atlanta, GA

Active since March 16, 2012CLIA 11D2340492 · Certificate of Compliance
5673 PEACHTREE DUNWOODY RD NE, SUITE 600, ATLANTA, GA 30342(404) 410-3970(404) 256-0040 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peachtree Nephrology Pc NPPES

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

PEACHTREE NEPHROLOGY PC (NPI 1841565355) is a healthcare organization registered as a nephrology in Atlanta, Georgia and active in the NPI registry since March 2012. The organization holds a CLIA Certificate of Compliance certificate valid through March 17, 2028 and lists Anupama Gowda, Owner, as its authorized official.

NPPES Registry Identity

NPI1841565355
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePEACHTREE NEPHROLOGY PC
Location Address5673 PEACHTREE DUNWOODY RD NE, SUITE 600Atlanta, GA 30342-1731
Mailing Address5673 Peachtree Dunwoody Rd Ne, Suite 600Atlanta, GA 30342-1731 · (404) 410-3970 · Fax (404) 256-0040
Phone(404) 410-3970
Fax(404) 256-0040
Organization SubpartNo
Authorized OfficialAnupama GowdaOwner · (404) 410-3970
Enumeration DateMarch 16, 2012
✔ NPI 1841565355 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 · 053746
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.
5673 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342
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Other Identifiers 1

Medicare UPINI03313GA

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Compliance 11D2340492

Peachtree Nephrology · Lawrenceville, GA
Active · expires Mar 17, 2028
CLIA Number11D2340492
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorDr. Tulsiram Prathapam
Laboratory Phone(404) 410-3970
Laboratory LocationPeachtree Nephrology310 Philip Blvd, Suite 101, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

J. MARK RHEUDASIL MD
Surgery (Vascular Surgery)
5673 PEACHTREE DUNWOODY RD NE, SUITE 675
ATLANTA, GA 30342
Fulton County (678) 843-5400
BRUCE G GREEN MD
Urology
5673 PEACHTREE DUNWOODY RD NE, STE 910
ATLANTA, GA 30342
Fulton County (404) 255-3822
UROLOGY SURGICAL PARTNERS, LLC
Clinic/Center (Ambulatory Surgical)
5673 PEACHTREE DUNWOODY RD NE, SUITE 900
ATLANTA, GA 30342
Fulton County (770) 650-1389
SELTMAN & KAPLAN, P.C.
Specialist
5673 PEACHTREE DUNWOODY RD NE, SUITE 950
ATLANTA, GA 30342
Fulton County (404) 256-3135
M. SUSANN BEDFORD, MD PC
Plastic Surgery
5673 PEACHTREE DUNWOODY RD NE, SUITE 870
ATLANTA, GA 30342
Fulton County (404) 255-2975
DR. DAVID D. PARK M.D.
Surgery
5673 PEACHTREE DUNWOODY RD NE, SUITE 300
ATLANTA, GA 30342
Fulton County (404) 252-6118
MRS. ALISA BERNATH WINTERS M.S., R.D., L.D.
Dietitian, Registered
5673 PEACHTREE DUNWOODY RD NE, SUITE 775
ATLANTA, GA 30342
Fulton County (770) 367-2952
SAINT JOSEPHS MEDICAL GROUP
General Acute Care Hospital
5673 PEACHTREE DUNWOODY RD NE, SUITE 675
ATLANTA, GA 30342
Fulton County (678) 843-5400

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 Peachtree Nephrology PC's NPI number?

The NPI number for Peachtree Nephrology PC is 1841565355. It was assigned to this organization in the NPPES registry on March 16, 2012.

Where is Peachtree Nephrology PC located?

Peachtree Nephrology PC is located at 5673 Peachtree Dunwoody Rd NE Suite 600, Atlanta, GA 30342. The listed phone number is (404) 410-3970.

What is Peachtree Nephrology PC's specialty?

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

Does Peachtree Nephrology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2340492) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peachtree Nephrology PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Peachtree Nephrology PC 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 Peachtree Nephrology PC was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.