Organization Active NPI

Florence Nephrology Associates, LLC

  • Nephrology Physician
  • Florence, SC
National Provider Identifier
1235871146
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
FLORENCE NEPHROLOGY ASSOCIATES, LLC
Practice address
101 William H Johnson St Ste 430
Florence, SC 29506-2769
Phone
(843) 777-7290
Fax
(843) 777-7280
NPI assigned
Apr 11, 2022
Last updated
Apr 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
MHD Adnan Alsaka, MDNPI 1184880049
Title
MD
Phone
(843) 777-7790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

101 William H Johnson St Ste 430
Florence, SC 29506-2769

Mailing address

101 William H Johnson St Ste 430
Florence, SC 29506-2769
Phone (843) 777-7290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220620001814 SC Part B Supplier - Clinic/Group Practice 6901285071 Receives reassigned benefits from 4 practitioners
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

101 William H Johnson St
Ste 430
Florence, SC 29506
Phone (843) 777-7290

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1235871146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILLIAM H JOHNSON ST STE 430",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062769",
            "telephone_number": "843-777-7290",
            "fax_number": "843-777-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIAM H JOHNSON ST STE 430",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062769",
            "telephone_number": "843-777-7290",
            "fax_number": "843-777-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE NEPHROLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "ALSAKA",
        "authorized_official_first_name": "MHD",
        "authorized_official_middle_name": "ADNAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "843-777-7790",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.