Individual provider Active NPI

Kristel J McLawhorn, M.D.

  • Nephrology Physician
  • Greenville, NC
National Provider Identifier
1447475900
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2010-00444 Issued in NC
Practice address
Eastern Nephrology Associates, PLLC
511 Paladin Drive
Greenville, NC 27834-7826
Phone
(252) 752-8880
Fax
(252) 317-2092
NPI assigned
Apr 17, 2007
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP00367 RI
Nephrology Physician 207RN0300X 0116020871 VA
Nephrology Physician 207RN0300X 2010-00444 NC Primary

Addresses

Primary practice location

Eastern Nephrology Associates, PLLC
511 Paladin Drive
Greenville, NC 27834-7826

Mailing address

511 Paladin Drive
Eastern Nephrology Associates
Greenville, NC 27834
Phone (252) 752-8880

Other names 1

  • Kristel L Jernigan Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000510 NC Practitioner - NephrologyPractitioner - Internal Medicine 6103950324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Brody School of Medicine at East Carolina University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

201 Virginia Rd
Edenton, NC 27932-9668
Phone (252) 482-2116

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

211 Virginia Rd
Edenton, NC 27932-9668
Phone (252) 482-6219

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

500 Academy St S
Vidant Roanoke Chowan Hospitalists
Ahoskie, NC 27910-3248
Phone (252) 209-3708

511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LP00367RIMDInternal Medicine Physician
2010-00444NCMDNephrology Physician
0116020871VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nephrology Associates PLLC Nephrology CurrentSince Jul 5, 2011 Accepting new patients
Vidant Medical Group Affiliates LLC CurrentSince Sep 1, 2016 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 1, 2018 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

Interoperability endpoints

  • Direct secure messaging: kmclawhorn22343@direct.acumenmd.com
  • Direct secure messaging: kristelmclawhorn@ena.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

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": "1599091200000",
    "number": "1447475900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 PALADIN DRIVE",
            "address_2": "EASTERN NEPHROLOGY ASSOCIATES",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-752-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EASTERN NEPHROLOGY ASSOCIATES, PLLC",
            "address_2": "511 PALADIN DRIVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347826",
            "telephone_number": "252-752-8880",
            "fax_number": "252-317-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAWHORN",
        "first_name": "KRISTEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP00367",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0116020871",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2010-00444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEL",
            "last_name": "JERNIGAN",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.