Active NPI
Elizabeth Weaver Dehmer, M.D.
- Nephrology Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2009-00132
- Practice address
- Eastern Nephrology Associates PLLC
1302 Medical Center Dr
Wilmington, NC 28401-7503 - Phone
- (910) 343-9800
- Fax
- (910) 343-8650
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 04-36570 | KS | |
| Nephrology Physician | 207RN0300X | 39345 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | 2009-00132 | NC | Primary |
Addresses
Primary practice location
Eastern Nephrology Associates PLLC
1302 Medical Center Dr
Wilmington, NC 28401-7503
Mailing address
1302 Medical Center Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800
Other practice location 1
1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Phone (803) 329-2636
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1302 Medical Ctr Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800
20 Medical Campus Dr NW
Suite 101
Supply, NC 28462-4094
Phone (910) 754-4544
227 Memorial Dr
Jacksonville, NC 28546-6333
Phone (910) 346-2263
511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880
Hospital & facility affiliations
- DaVita SEDC Wilmington Dialysis Center
- Novant Health New Hanover Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-36570 | KS | MD | Nephrology Physician |
| 39345 | SC | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Nephrology Associates PLLC | Nephrology | Current | Accepting new patients |
Locations
511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280
227 Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-2263
20 Medical Campus Dr NW
Ste 101
Supply, NC 28462
Phone (910) 754-4544
800 Jefferson St
Ste 107
Whiteville, NC 28472
Phone (910) 642-9888
1302 Medical Center Dr
Wilmington, NC 28401
Phone (910) 343-9800
2021 N Myrtle Point Blvd
Ste 104
North Myrtle Beach, SC 29582
Phone (843) 366-2900
Interoperability endpoints
- edehmer22332@direct.acumenmd.com
- edehmer@crhn.cernerdirect.com
- edehmer522054@direct.novanthealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Greenville, NC
- NPI 1417083783
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
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": "1601596800000",
"number": "1548485113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017503",
"telephone_number": "910-343-9800",
"fax_number": "910-343-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EASTERN NEPHROLOGY ASSOCIATES PLLC",
"address_2": "1302 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017503",
"telephone_number": "910-343-9800",
"fax_number": "910-343-8650"
}
],
"practiceLocations": [
{
"address_1": "1436 Riverchase Blvd",
"address_purpose": "LOCATION",
"city": "Rock Hill",
"state": "SC",
"postal_code": "297321777",
"country_code": "US",
"telephone_number": "803-329-2636",
"fax_number": "803-329-2184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEHMER",
"first_name": "ELIZABETH",
"middle_name": "WEAVER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2020-10-02",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KS",
"license": "04-36570",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "39345",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "2009-00132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.