Organization Active NPI

Independent Nephrology Services, Inc.

Doing business as INS - Forsyth County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1073567137
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
INDEPENDENT NEPHROLOGY SERVICES, INC.
Doing business as
INS - Forsyth County
Practice address
855 Bethesda Rd
Winston Salem, NC 27103-3026
Phone
(704) 896-6869
Fax
(704) 655-7244
NPI assigned
May 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ronald F Sawyer
Title
Ceo
Phone
(704) 896-6869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

855 Bethesda Rd
Winston Salem, NC 27103-3026

Mailing address

15705 Knox Hill Rd
Huntersville, NC 28078-5691
Phone (704) 896-6869

Other names 1

  • INS - Forsyth County Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Independent Nephrology Services Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073567137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15705 KNOX HILL RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785691",
            "telephone_number": "704-896-6869",
            "fax_number": "704-655-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 BETHESDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033026",
            "telephone_number": "704-896-6869",
            "fax_number": "704-655-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT NEPHROLOGY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-896-6869"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INS - Forsyth County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.