Eagles Landing Nephrology and Hypertension LLC
NPI 1205294378ActiveOrganization· Internal Medicine, Nephrology· Stockbridge, GA
Internal Medicine, Nephrology in Stockbridge, Georgia, registered in NPPES in February 2016. The authorized official on file is Chudamani Rao Polkampally, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205294378 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 4, 2016 |
| Last updated in NPPES | Apr 30, 2020 |
| Certified by provider | Apr 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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