William Thomas Kendrick, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

200301132 Issued in NC

Practice address

511 Paladin Dr
Greenville, NC 27834-7826

Phone

(252) 752-8880

Fax

(252) 317-2091

NPI assigned

Jun 1, 2005

Last updated

Dec 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

Brody School of Medicine at East Carolina University, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC - Greenville Dialysis Center Dialysis facility, Greenville, NC, CCN 342502
• Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040
• Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042
• Vidant Roanoke Chowan Hospital Hospital, Ahoskie, NC, CCN 340099

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: williamkendrick@ena.allscriptsdirect.net
• Direct secure messaging: wkendrick22340@direct.acumenmd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Nephrology Associates PLLC

  • Nephrology Physician
  • Greenville, NC
  • NPI 1417083783
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of North Carolina, Inc.

  dba Greenville Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Greenville, NC
  • NPI 1821042243

  Dialysis facility

  Care Compare affiliation Name & address match
• East Carolina Health

  dba ECU Health Roanoke-Chowan Hospital

  • General Acute Care Hospital
  • Ahoskie, NC
  • NPI 1467441394
  Care Compare affiliation
• Onslow Memorial Hospital Inc

  dba Onslow Memorial Hospital

  • General Acute Care Hospital
  • Jacksonville, NC
  • NPI 1679535496
  Care Compare affiliation
• Pitt County Memorial Hospital Inc

  dba ECU Health Beaufort Hospital-a campus of ECU Health Medical Center

  • General Acute Care Hospital
  • Washington, NC
  • NPI 1780359687
  Care Compare affiliation
• Pitt County Memorial Hospital, Inc

  dba ECU Health Medical Center

  • General Acute Care Hospital
  • Greenville, NC
  • NPI 1043218944
  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1407858632",
    "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": "252-317-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "200301132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891351R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelmira Lathams Readysetgo Speechinc
• Katherine Cottle Kemble, MSW, P-LCSW
• Jemelia Kendall, MA, LCAS-A
• Dawn B Kendrick, MD
• Scott Alan Kendrick, MD
• Cassidy Kennedy
• Forrest Bruce Kennedy Jr., CRNA
• Joy Kennedy
• Krystal Gladson Kennedy, FNP-BC
• Michelle Frances Kennedy

• Nephrology Physician in Greenville, NC
• Providers in Greenville, 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 Dec 27, 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.

Verify at the official NPI Registry.