Integrative Kidney Associates, PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

INTEGRATIVE KIDNEY ASSOCIATES, PLLC

Practice address

421 S Sharon Amity Rd Ste B
Charlotte, NC 28211-2882

Phone

(704) 826-3722

Fax

(404) 506-9090

NPI assigned

Mar 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kaliliah Wilson

Title

Credentialing Specialist

Phone

(404) 287-3212

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26226/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Willie Edward Hester Jr., M.D.

  • Nephrology Physician
  • Rutherfordton, NC
  • NPI 1730354002
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1013665488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S SHARON AMITY RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112882",
            "telephone_number": "704-826-3722",
            "fax_number": "404-506-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S SHARON AMITY RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112882",
            "telephone_number": "704-826-3722",
            "fax_number": "404-506-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE KIDNEY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KALILIAH",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "404-287-3212"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911907",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Sleep Solutions, PC
• Integrated Therapeutic Solutions
• Integration Station
• Integrative Chiropractic of Ballantyne PLLC
• Integrative Immunology Care PLLC
• Integrative Lifestyle Counseling & Consulting PLLC
• Integrative Massage Concepts of Charlotte,Inc
• Integrative Renewal Health PLLC
• Integrative Rheumatology PLLC
• Integrative Solutions of the Carolinas, Inc.

• Nephrology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.