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: October 18, 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
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peachtree Nephrology Pc 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 Peachtree Nephrology PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Internal Medicine
NPI 1508947870
5673 PEACHTREE DUNWOODY RD SUITE 745
Atlanta, GA 30342
(404) 410-3970
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1629269972
5669 PEACHTREE DUNWOODY RD STE 240
Atlanta, GA 30342
(404) 410-3970
✔ PECOS✔ Accepts Medicare0.1 mi
Nephrology
NPI 1699022426
5669 PEACHTREE DUNWOODY RD STE 240
Atlanta, GA 30342
(404) 410-3970
✔ PECOS✔ Accepts Medicare0.1 mi
Nephrology
NPI 1376606087
5669 PEACHTREE DUNWOODY RD STE 240
Atlanta, GA 30342
(404) 410-3970
✔ PECOS✔ Accepts Medicare0.1 mi
Nephrology
NPI 1437449741
5667 PEACHTREE DUNWOODY RD STE 260
Atlanta, GA 30342
(404) 255-1030
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1093291627
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts Medicare304 mi

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 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.

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.

Is Peachtree Nephrology PC enrolled in Medicare?

Yes. Peachtree Nephrology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peachtree Nephrology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Peachtree Nephrology 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. The largest specialties are Nephrology (4) and Internal Medicine (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.