Active NPI
Scott Alan Kendrick, MD
- Nephrology Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2008-00801
- Practice address
- 511 Paladin Dr
Greenville, NC 27834-7826 - Phone
- (252) 752-8880
- Fax
- (252) 317-2092
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 2008-00801 | NC | Primary |
Addresses
Primary practice location
511 Paladin Dr
Greenville, NC 27834-7826
Mailing address
511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149HA | Other | NC | BCBS OF NC |
| 5909745 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080710000747 | NC | Practitioner - Nephrology | 8527169952 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Brody School of Medicine at East Carolina University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757
401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080
511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880
Hospital & facility affiliations
- Fresenius Medical Care Farmville
- FMC Edgecombe Home Dialysis
- Fresenius Kidney Care Captains Cove
- Ecu Health Medical Center
- Ecu Health Bertie Hospital
- Vidant Roanoke Chowan Hospital
- Vidant Edgecombe Hospital
- Vidant Chowan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Nephrology Associates PLLC | Nephrology | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients |
Locations
2310 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 847-6611
511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280
517 Moye Blvd
Greenville, NC 27834
Phone (252) 744-2335
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
101 Clinic Dr
Tarboro, NC 27886
Phone (252) 823-2105
Interoperability endpoints
- scottkendrick@ena.allscriptsdirect.net
- skendrick22339@direct.acumenmd.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Greenville, NC
- NPI 1417083783
NC, Nephrology
-
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1376049619
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Farmville, NC
- NPI 1316314230
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Winterville, NC
- NPI 1962063156
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tarboro, NC
- NPI 1487197406
Dialysis facility
-
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
Hospital
-
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1104042365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 PALADIN DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347826",
"telephone_number": "252-752-8880",
"fax_number": "252-317-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 PALADIN DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347826",
"telephone_number": "252-752-8880",
"fax_number": "252-317-2092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDRICK",
"first_name": "SCOTT",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "2008-00801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "149HA",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5909745",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.