Individual provider Active NPI

Elizabeth Weaver Dehmer, M.D.

  • Nephrology Physician
  • Wilmington, NC
National Provider Identifier
1548485113
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2009-00132 Issued in NC
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

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000232 NC Practitioner - NephrologyPractitioner - Internal Medicine 6901074392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
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
Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

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 Dialysis facility, Wilmington, NC, CCN 342511
  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-36570KSMDNephrology Physician
39345SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nephrology Associates PLLC Nephrology CurrentSince Apr 1, 2019 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

  • Direct secure messaging: edehmer22332@direct.acumenmd.com
  • Direct secure messaging: edehmer@crhn.cernerdirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.