SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC – NPI #1104878347
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.
SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC is a provider located in WILMINGTON, NC. NPPES has assigned the NPI number 1104878347 to SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC on May 16, 2006. 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 previously updated about 8 years ago on Jul 18, 2018. 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 SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC below.
NPI Profile for
SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC
(more than 20 years ago)
WILMINGTON, NC 28401 Phone: (910) 343-9800 Fax: (910) 343-8650
1 Other location(s):
North Myrtle Beach, SC 29582-2224
Phone: (910) 343-9800
Fax: (910) 763-4409
MANAGING PARTNER
Phone: (910) 343-9800
Identifiers for SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BC/BS NC GROUP | NC | 0227R |
| MEDICAID | NC | 890145Q | |
| MEDICAID | NC | 89015CF | |
| MEDICAID | NC | 890227R |
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.