{
"Npi": {
"NPI": "1134289580",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HYPERTENSION & NEPHROLOGY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "121 N 20TH ST STE 20A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OPELIKA",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36801-5456",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "334-749-6523",
"MailingAddressFaxNumber": "334-742-0242",
"FirstLinePracticeLocationAddress": "121 N 20TH ST STE 20A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OPELIKA",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "36801-5456",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "334-749-6523",
"PracticeLocationAddressFaxNumber": "334-742-0242",
"EnumerationDate": "12/08/2006",
"LastUpdateDate": "09/05/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THARP",
"AuthorizedOfficialFirstName": "LORETTA",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "ADMINISTRATOR",
"AuthorizedOfficialTelephoneNumber": "334-749-6523",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207RN0300X",
"TaxonomyName": "Nephrology Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": [
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
]
}
}
}