Metrolina Nephrology Associates, PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

39934 REGISTRATION # Issued in NC

Legal business name

METROLINA NEPHROLOGY ASSOCIATES, PA

Practice address

3158 Freedom Drive
Ste 3101
Charlotte, NC 28208

Phone

(704) 348-2992

Fax

(704) 334-3061

NPI assigned

May 11, 2006

Last updated

Jun 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George M. Hart, MDNPI 1881647634

Title

President/Physician

Phone

(704) 332-0396

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

• Independent Nephrology Services, LLC

  dba Ins - Statesville

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Statesville, NC
  • NPI 1205889813

  Member Of

  NPD member
• Independent Nephrology Services, LLC

  dba INS Victory Home

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Charlotte, NC
  • NPI 1316905730

  Member Of

  NPD member
• Independent Nephrology Services, LLC

  dba Ins Freedom Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Charlotte, NC
  • NPI 1962451492

  Member Of

  NPD member
• Metrolina Vascular Access Care LLC

  dba Metrolina Surgery Center of Charlotte

  • Ambulatory Surgical Clinic/Center
  • Charlotte, NC
  • NPI 1942956123

  Member Of

  NPD member

Locations

Practitioners 127

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pranab Acharya, M.D., MPH

  • Nephrology Physician
  • Monroe, NC
  • NPI 1629385117

  SC

  Medicare reassignment Care Compare group NPD
• Dianne Sinclair Audette, FNP-C

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1346752375

  SC

  Medicare reassignment Care Compare group NPD
• Donald P. Berling, MD

  • Nephrology Physician
  • Charlotte, NC
  • NPI 1710927421

  SC

  Medicare reassignment Care Compare group NPD
• Courtney Vann Blocker, FNP-C

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1134534399
  Medicare reassignment Care Compare group NPD
• Courtney Boggs, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1558844605
  Medicare reassignment Care Compare group NPD
• Sheila Love Brown, AGNP

  • Adult Health Nurse Practitioner
  • Monroe, NC
  • NPI 1346863537

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Joel E Bruce, M.D.

  • Nephrology Physician
  • Charlotte, NC
  • NPI 1154387199

  SC

  Medicare reassignment Care Compare group NPD
• Paul Adam Cheifetz, MD

  • Nephrology Physician
  • Gastonia, NC
  • NPI 1265486054

  SC

  Medicare reassignment Care Compare group NPD
• Annise Kieu Chung, DO

  • Nephrology Physician
  • Charlotte, NC
  • NPI 1417299348
  Medicare reassignment Care Compare group NPD
• Michael Neal Daniels, D.O.

  • Nephrology Physician
  • Huntersville, NC
  • NPI 1356634497
  Medicare reassignment Care Compare group NPD
• Dharmika Desai, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1033846498
  Medicare reassignment Care Compare group NPD
• Jordan Bey Donnelly, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Concord, NC
  • NPI 1497523971
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1083664189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 FREEDOM DRIVE",
            "address_2": "STE 3102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083106",
            "telephone_number": "704-332-0396",
            "fax_number": "704-971-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3158 FREEDOM DRIVE",
            "address_2": "STE 3101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28208",
            "telephone_number": "704-348-2992",
            "fax_number": "704-334-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROLINA NEPHROLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "704-332-0396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "39934 REGISTRATION #",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N02155",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902155",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metrolina Healthcare Services LLC (BrightStar HealthCare)
• Metrolina Hearing Specialists Inc (Audibel Hearing Center)
• Metrolina Home Care
• Metrolina Internal Medicine PA
• Metrolina Medical Clinic, PLLC
• Metrolina Neurological Associates
• Metrolina Orthopaedic and Sports Medicine Clinic
• Metrolina Pain Clinic Dispensary
• Metrolina Sleep Services, LLC
• Metrolina Urology Clinic PA

• 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 Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.