| Dr Srilakshmi Rebala, MD | |
|
1500 Oglethorpe Ave, Suite 500c, Athens, GA 30606-2179 | |
| (706) 546-7484 | |
| (706) 546-7488 |
| Full Name | Dr Srilakshmi Rebala |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 30 Years |
| Location | 1500 Oglethorpe Ave, Athens, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730173733 | NPI | - | NPPES |
| 261448399A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 051081 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Athens Renal Center, Llc | Athens, GA | Dialysis facility |
| Greensboro Davita Dialysis Center | Greensboro, GA | Dialysis facility |
| Dca Of Royston | Royston, GA | Dialysis facility |
| Athens West Dialysis | Bogart, GA | Dialysis facility |
| Fmc Dialysis Services Of Walton | Monroe, GA | Dialysis facility |
| Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
| St. Mary's Good Samaritan Hospital | Greensboro, GA | Hospital |
| St Mary's Hospital | Athens, GA | Hospital |
| Ty Cobb Regional Medical Center, Llc | Lavonia, GA | Hospital |
| Piedmont Walton Hospital | Monroe, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Renal Associates, Pc | 9032277785 | 3 |
| Entity Name | Georgia Renal Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780851436 PECOS PAC ID: 9032277785 Enrollment ID: O20081023000770 |
| Entity Name | Piedmont Athens Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245746783 PECOS PAC ID: 0648520841 Enrollment ID: O20180910002202 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Srilakshmi Rebala, MD Po Box 7335, Athens, GA 30604-7335 Ph: (706) 546-7484 | Dr Srilakshmi Rebala, MD 1500 Oglethorpe Ave, Suite 500c, Athens, GA 30606-2179 Ph: (706) 546-7484 |
Bannur Ramanna Nandeesh, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-5076 | |
Krupal Jay Hari, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-475-1790 | |
Mr. Ashwin Thatti, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606 Phone: 706-546-7484 | |
Dr. Stephen William Wilde, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 700 Sunset Dr, Suite 501, Athens, GA 30606 Phone: 706-208-0065 Fax: 706-459-8693 | |
Dr. James S Miller, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-546-1787 | |
Dr. Paul Peteet, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217 | |
Diana T Blake, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2470 Daniells Bridge Rd Ste 231, Athens, GA 30606 Phone: 706-769-3362 Fax: 706-769-5675 |