Organization Active NPI

Carolina Nephrology PA

  • Nephrology Physician
  • Greenville, SC
National Provider Identifier
1679557516
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CAROLINA NEPHROLOGY PA
Practice address
203 Mills Avenue
Greenville, SC 29605-4019
Phone
(864) 271-1844
Fax
(864) 271-3714
NPI assigned
Dec 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Kathryn Kohara
Title
Cfo
Phone
(864) 271-1844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

203 Mills Avenue
Greenville, SC 29605-4019

Mailing address

203 Mills Ave
Greenville, SC 29605-4019
Phone (864) 271-1844

Other identifiers 1

IdentifierTypeStateIssuer
GP0879MedicaidSC

Other names 1

  • Carolina Regional Nephrology Associates Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041122000627 SC Part B Supplier - Clinic/Group Practice 2961467733 Receives reassigned benefits from 39 practitioners
Practice locations: Spartanburg, SC; Simpsonville, SC; Greer, SC; Greenville, SC; Easley, SC; Clinton, SC; Anderson, SC; Gaffney, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0252368Carolina Regional Nephrology Assocs203 Mills Ave, Greenville, SC 29605AccreditationMar 31, 2027

National Provider Directory

National Provider Directory

Locations

800 N Fant St
Ste 2A
Anderson, SC 29621

455 E Whitner St
Anderson, SC 29624
Phone (864) 759-0314

196 Sloane Garden Rd
Boiling Springs, SC 29316
Phone (864) 814-7395

400 Plaza Cir
Ste H
Clinton, SC 29325
Phone (864) 833-4166

400 Plaza Cir
Clinton, SC 29325

121 Commerce Blvd
Ste A
Easley, SC 29642
Phone (864) 859-7902

201 E 1st Ave
Easley, SC 29640

200 E 1st Ave
Easley, SC 29640
Phone (864) 855-6206

121 Commerce Blvd
Ste B
Easley, SC 29642
Phone (864) 859-3038

406 Tiffany Park
#B
Gaffney, SC 29341
Phone (864) 663-2736

406 Tiffany Park
Gaffney, SC 29341
Phone (864) 488-3980

110 Chalmers Rd
Unit B
Greenville, SC 29605

890 W Faris Rd
Ste 210
Greenville, SC 29605

110 Chalmers Rd
Unit A
Greenville, SC 29605
Phone (864) 977-8200

110 Chalmers Rd
Ste D
Greenville, SC 29605
Phone (864) 558-2365

203 Mills Ave
Greenville, SC 29605
Phone (803) 271-1844

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

45 Aaron Tippin Dr
Greer, SC 29650
Phone (864) 848-5555

727 SE Main St
Ste 360
Simpsonville, SC 29681
Phone (864) 454-6650

1328 Highway 14
Simpsonville, SC 29681
Phone (470) 485-8668

729 SE Main St
Ste 360
Simpsonville, SC 29681

1410 John B White SR Blvd
Spartanburg, SC 29306
Phone (864) 271-1488

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1679557516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-271-1844",
            "fax_number": "864-271-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MILLS AVENUE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-271-1844",
            "fax_number": "864-271-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NEPHROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "KOHARA",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-271-1844"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0879",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Regional Nephrology Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.