OrganizationActive
Eastside Premier Nephrology & Hypertension PC
NPI 1104048651 · Nephrology Physician · Conyers, GA
Provider details
- NPI number
- 1104048651
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Oladapo Falase, Office Manager(678) 413-3261
- License
- 044714 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1612 Milstead Rd Ne
Suite a
Conyers, GA 30012-3738
Phone: (678) 413-3261
Fax: (678) 413-3580
Street-level locationGet directions
Mailing address
Po Box 1157
Covington, GA 30015-1157
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2011-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.