Active NPI
North Carolina Nephrology PA
- Nephrology Physician
- Raleigh, NC
National Provider Identifier
1508360462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
3604 Bush St FL 2
Raleigh, NC 27609-7511
Mailing address
3031 New Bern Ave Ste 306
Raleigh, NC 27610-2989
Phone (919) 231-3966
Medicare participation
Medicare enrollment files- 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.
National Provider Directory
National Provider DirectoryLocations
3604 Bush St
Fl 2
Raleigh, NC 27609
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Raleigh, NC
- NPI 1225492788
NPI Registry JSON
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": []
}Other providers in Raleigh, NC
- North Carolina Dermatology Associates, PLLC
- North Carolina Elderly Psychiatric
- North Carolina Endodontics
- North Carolina Eye Ear Nose & Throat, PA
- North Carolina MG, LLC
- North Carolina Nephrology PA
- North Carolina Neuropsychiatry
- North Carolina Oncology Associates
- North Carolina Orthotics & Prosthetics R
- North Carolina Physical Therapy
Sources for this page
- 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.