North Carolina Nephrology PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NORTH CAROLINA NEPHROLOGY PA

Practice address

3604 Bush St FL 2
Raleigh, NC 27609-7511

Phone

(919) 876-7807

Fax

(919) 876-8823

NPI assigned

Mar 23, 2018

Last updated

Mar 23, 2018By 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

Jennifer Capps

Title

Billing Manager

Phone

(919) 459-8409

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• North Carolina Nephrology PA

  • Nephrology Physician
  • Dunn, NC
  • NPI 1053815993

  O20170103000254

  Same enrollment
• North Carolina Nephrology PA

  • Nephrology Physician
  • Smithfield, NC
  • NPI 1134623002

  O20170103000254

  Same enrollment
• North Carolina Nephrology PA

  • Nephrology Physician
  • Fuquay Varina, NC
  • NPI 1558865402

  O20170103000254

  Same enrollment
• North Carolina Nephrology PA

  • Nephrology Physician
  • Raleigh, NC
  • NPI 1750835336

  O20170103000254

  Same enrollment
• North Carolina Nephrology PA

  • Nephrology Physician
  • Cary, NC
  • NPI 1811492663

  O20170103000254

  Same enrollment
• North Carolina Nephrology PA

  • Nephrology Physician
  • Wake Forest, NC
  • NPI 1932603800

  O20170103000254

  Same enrollment

Practitioners 1

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.

• Rosanne Harnois, AGNP

  • Nurse Practitioner
  • Raleigh, NC
  • NPI 1225492788
  NPD

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1508360462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 NEW BERN AVE STE 306",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102989",
            "telephone_number": "919-231-3966",
            "fax_number": "919-231-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 BUSH ST FL 2",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097511",
            "telephone_number": "919-876-7807",
            "fax_number": "919-876-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA NEPHROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "919-459-8409"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Carolina CVS Pharmacy, LLC (CVS Pharmacy #07555)
• North Carolina Dermatology Associates, PLLC
• North Carolina Elderly Psychiatric
• North Carolina Eye Ear Nose & Throat, PA (North Carolina Eye Ear Nose & Throat of North Raleigh)
• North Carolina MG, LLC (UNC Health North Carolina Heart and Vascular)
• North Carolina Nephrology PA
• North Carolina Neuropsychiatry
• North Carolina Oncology Associates
• North Carolina Orthotics & Prosthetics R
• North Carolina Physical Therapy

• Nephrology Physician in Raleigh, NC
• Providers in Raleigh, 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 Mar 23, 2018; 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.