Sandhills Nephrology and Internal Medicine, P.a.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SANDHILLS NEPHROLOGY AND INTERNAL MEDICINE, P.A.

Practice address

1218 Walter Reed Rd
Fayetteville, NC 28304-4440

Phone

(910) 323-1671

Fax

(910) 323-9656

NPI assigned

Oct 17, 2006

Last updated

Sep 30, 2008By 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

Mrs. Mildred Enid Romeu

Title

Office Manager

Phone

(910) 323-1671

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1275614430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 WALTER REED RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044440",
            "telephone_number": "910-323-1671",
            "fax_number": "910-323-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 WALTER REED RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044440",
            "telephone_number": "910-323-1671",
            "fax_number": "910-323-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS NEPHROLOGY AND INTERNAL MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "ROMEU",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-323-1671",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790197C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0197C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandhills Consulting, LLC
• Sandhills Eye Care, OD, PA
• Sandhills Heart Surgery PA
• Sandhills Heart Surgery PA
• Sandhills Medical Care Center, PLLC
• Sandhills Orthotics, LLC (Sandhills Orthotics & Prosthetics)
• Sandhills Physician of Mental Health Clinic, PLLC
• Sandhills Womancare PA
• Sandra Gail Kolb Family Practice
• Samantha Neevie Sands, CNM

• Nephrology Physician in Fayetteville, NC
• Providers in Fayetteville, 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 Sep 30, 2008; 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.