Eastside Premier Nephrology & Hypertension PC
NPI 1104048651ActiveOrganization· Internal Medicine, Nephrology· Conyers, GA
Internal Medicine, Nephrology in Conyers, Georgia, registered in NPPES in May 2007. The authorized official on file is Oladapo Falase, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104048651 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2007 |
| Last updated in NPPES | Mar 22, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 044714 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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