| Gautham Viswanathan, MD | |
|
35 Collier Rd Nw, Ste 610, Atlanta, GA 30309-1613 | |
| (404) 355-7375 | |
| (404) 350-9781 |
| Full Name | Gautham Viswanathan |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 27 Years |
| Location | 35 Collier Rd Nw, Atlanta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427194257 | NPI | - | NPPES |
| 71645 | Other | GA | MEDICAL LICENSE |
| 01059360A | Other | IN | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01059360A (Indiana) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 71645 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Reliant Renal Care Georgia, Llc | Marietta, GA | Dialysis facility |
| Fresenius Medical Care College Park | College park, GA | Dialysis facility |
| Fmc Atlanta-downtown | Atlanta, GA | Dialysis facility |
| Piedmont Hospital | Atlanta, GA | Hospital |
| Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Nephrology And Internal Medicine, Llc | 0244473973 | 4 |
| Entity Name | Piedmont Nephrology And Internal Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891132304 PECOS PAC ID: 0244473973 Enrollment ID: O20130828000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Gautham Viswanathan, MD 35 Collier Rd Nw, Ste 610, Atlanta, GA 30309-1613 Ph: (404) 355-7375 | Gautham Viswanathan, MD 35 Collier Rd Nw, Ste 610, Atlanta, GA 30309-1613 Ph: (404) 355-7375 |
Khadeja Jamilia Johnson, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318 Phone: 404-756-1290 | |
Dr. Matthew J. Wilson, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 Phone: 404-252-7970 Fax: 404-250-0553 | |
Dr. Shannon Walker Ike, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-1000 | |
Kajal Patel, M.D, M.P.H Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-2700 | |
Dr. Earl Stewart Jr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339 Phone: 678-556-4950 | |
Ms. Charvette Gaitone Shumaker-kirk, AGACNP-; AGPCNP Nephrology Medicare: Accepting Medicare Assignments Practice Location: 36 Linden Ave Ne, Atlanta, GA 30308 Phone: 404-778-1900 | |
Mary E. Bergh, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342 Phone: 404-303-3320 Fax: 404-303-3464 |