Eagles Landing Nephrology and Hypertension LLC
NPI 1205294378 · Nephrology Physician · Stockbridge, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eagles Landing Nephrology and Hypertension LLC is a Nephrology Physician organization in Stockbridge, GA (NPI 1205294378).
Provider details
- NPI number
- 1205294378
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chudamani Polkampally, Owner(770) 415-5889
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2016-02-04
- Last updated
- 2020-04-30
- Certified
- 2020-04-30
Frequently asked questions
- What is Eagles Landing Nephrology and Hypertension LLC's NPI number?
- Eagles Landing Nephrology and Hypertension LLC's National Provider Identifier (NPI) is 1205294378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagles Landing Nephrology and Hypertension LLC?
- Eagles Landing Nephrology and Hypertension LLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Eagles Landing Nephrology and Hypertension LLC located?
- Eagles Landing Nephrology and Hypertension LLC's practice location on file with NPPES is 225 Country Club Dr Ste 140, Stockbridge, GA 30281-7392.
- What is Eagles Landing Nephrology and Hypertension LLC's phone number?
- The practice phone number listed in the NPPES registry for Eagles Landing Nephrology and Hypertension LLC is (770) 415-5889.
- Does Eagles Landing Nephrology and Hypertension LLC accept Medicare?
- Eagles Landing Nephrology and Hypertension LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eagles Landing Nephrology and Hypertension LLC?
- The authorized official listed on Eagles Landing Nephrology and Hypertension LLC's NPPES record is Chudamani Polkampally, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagles Landing Nephrology and Hypertension LLC's NPI active?
- Yes — Eagles Landing Nephrology and Hypertension LLC's NPI (1205294378) is active in the NPPES registry as of the last update on 2020-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.