| CASE NUMBER | I-200-24289-407736 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/15/2024 |
| DECISION DATE | 10/22/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician-Nephrologist |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/1/2025 |
| END DATE | 1/31/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Nephrology Inc. |
| TRADE NAME DBA | Kidney Clinic |
| EMPLOYER ADDRESS1 | 1425 Highway 34 E. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Newnan |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30265 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17703043724 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Givens |
| EMPLOYER POC FIRST NAME | Rachel |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Practice Manager |
| EMPLOYER POC ADDRESS1 | 1425 Highway 34 E. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Newnan |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30265 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17703043424 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | rgivens@kcnewnan.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | O'Neil |
| AGENT ATTORNEY FIRST NAME | Megan |
| AGENT ATTORNEY MIDDLE NAME | E. |
| AGENT ATTORNEY ADDRESS1 | 314 Town Center Drive |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12486800600 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | hvisa@piston.net |
| LAWFIRM NAME BUSINESS NAME | Piston & Carpenter P.C. |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1425 Highway 34 E. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Newnan |
| WORKSITE COUNTY | COWETA |
| WORKSITE STATE | GA |
| WORKSITE POSTAL CODE | 30265 |
| WAGE RATE OF PAY FROM | $257,435.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $226,973.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2024 |
| PW SURVEY PUBLISHER | Medical Group Management Association (MGMA) |
| PW SURVEY NAME | Medical Group Management Association: Provider Comp. Report |
| 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 | Bedard |
| PREPARER FIRST NAME | Denise |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Piston & Carpenter P.C. |
| PREPARER EMAIL | denise@piston.net |
| BEGIN DATE CONVERTED | 2025-02-01 |
