| CASE NUMBER | I-200-24365-577276 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/30/2024 |
| DECISION DATE | 1/7/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Nephrologist |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | N |
| BEGIN DATE | 1/7/2025 |
| END DATE | 1/6/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Peachtree Nephrology PC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 5669 Peachtree Dunwoody Rd |
| EMPLOYER ADDRESS2 | Suite 240 |
| EMPLOYER CITY | Atlanta |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30342 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14044103970 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Honnappagowda |
| EMPLOYER POC FIRST NAME | Vasu |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 5669 Peachtree Dunwoody Rd |
| EMPLOYER POC ADDRESS2 | Suite 240 |
| EMPLOYER POC CITY | Atlanta |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30342 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14044103970 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | vasu@peachneph.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Fleming |
| AGENT ATTORNEY FIRST NAME | T. Mills |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 200 East Saint Julian Street |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Savannah |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 31401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19122360261 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mfleming@huntermaclean.com |
| LAWFIRM NAME BUSINESS NAME | Hunter Maclean Exley & Dunn PC |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | U.S. District Court For Southern District of Georgia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 5655 Peachtree Dunwoody Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Atlanta |
| WORKSITE COUNTY | FULTON |
| WORKSITE STATE | GA |
| WORKSITE POSTAL CODE | 30342 |
| WAGE RATE OF PAY FROM | $119.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $115.00 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Russell |
| PREPARER FIRST NAME | Mary |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Hunter Maclean Exley Dunn PC |
| PREPARER EMAIL | mrussell@huntermaclean.com |
| BEGIN DATE CONVERTED | 2025-01-07 |
