NORTH CAROLINA NEPHROLOGY PA – NPI #1053815993
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

NORTH CAROLINA NEPHROLOGY PA is a provider located in DUNN, NC. NPPES has assigned the NPI number 1053815993 to NORTH CAROLINA NEPHROLOGY PA on March 23, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Sep 19, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTH CAROLINA NEPHROLOGY PA below.

NPI Profile for
NORTH CAROLINA NEPHROLOGY PA

NPI Number
1053815993
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTH CAROLINA NEPHROLOGY PA
Primary location
700 TILGHMAN DR STE 722
DUNN, NC 28334-5519
Phone: (919) 876-7807 Fax: (919) 876-8823
1 Other location(s):
605 Tilghman Dr
Dunn, NC 28334-5526
Phone: (919) 231-3966
Fax: (919) 231-3912
Mailing address
3700 BARRETT DR STE 200
RALEIGH, NC 27609-7213
Phone: (919) 231-3966 Fax: (919) 231-3912
Organization Subpart
No
Authorized Official
JENNIFER CAPPS
BILLING MANAGER
Phone: (919) 231-3966
Updated
Certification Date
Sep 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.