JACKSONVILLE KIDNEY CENTER – NPI #1780684795
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.

JACKSONVILLE KIDNEY CENTER is a provider located in HUDSON, FL. NPPES has assigned the NPI number 1780684795 to JACKSONVILLE KIDNEY CENTER on August 01, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JACKSONVILLE KIDNEY CENTER” is a dba name, the actual legal business name for this organization is NATIONAL KIDNEY PARTNERS, LLP. The NPI data also shows multiple names associated with this provider such as Florida Kidney & Hypertension Clinic and 7 other listed below. 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 2 years ago on Apr 24, 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 JACKSONVILLE KIDNEY CENTER below.

NPI Profile for
NATIONAL KIDNEY PARTNERS, LLP

NPI Number
1780684795
Enumeration Date

(about 21 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
NATIONAL KIDNEY PARTNERS, LLP
Doing Business As (dba): JACKSONVILLE KIDNEY CENTER
Other name(s)
All associated names:
Doing Business As (dba)
Florida Kidney & Hypertension Clinic
Doing Business As (dba)
Jacksonville Kidney Center
Doing Business As (dba)
Kidney Care of the Treasure Coast
Doing Business As (dba)
Kidney Group Of South Florida
Doing Business As (dba)
Kidney Institute of Florida
Former Legal Business Name
MK Acharya MD PA & PM Reddy MD
Doing Business As (dba)
Renal Hypertension Center
Doing Business As (dba)
South Florida Hypertension & Kidney Care
Primary location
14134 NEPHRON LN
HUDSON, FL 34667-6504
Phone: (727) 863-5418 Fax: (727) 869-8626
Mailing address
14134 NEPHRON LANE
HUDSON, FL 34667
Phone: (727) 266-1403 Fax: (727) 497-6784
Organization Subpart
No
Authorized Official
SHAWN BARNETT
CREDENTIALING AND COMPLIANCE MGR
Phone: (727) 863-5418
Updated
Certification Date
Apr 24, 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.

Identifiers

Identifiers for JACKSONVILLE KIDNEY CENTER

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.

DescriptionIssuerStateIdentifier
otherBLUE CROSS BLUE SHIELDFL24654
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.