Active NPI
Pinehurst Nephrology Associates, PC
- Nephrology Physician
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 9700591
- Legal business name
- PINEHURST NEPHROLOGY ASSOCIATES, PC
- Practice address
- 293 Olmsted Blvd Ste 7
Pinehurst, NC 28374-9191 - Phone
- (910) 295-3344
- Fax
- (910) 295-3165
- NPI assigned
- May 24, 2005
- Last updated
- Sep 16, 2025
- 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
- Lisa P Corbett
- Title
- Delegated Official
- Phone
- (910) 295-3344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 9700591 | NC | Primary |
Addresses
Primary practice location
293 Olmsted Blvd Ste 7
Pinehurst, NC 28374-9191
Mailing address
293 Olmsted Blvd Ste 7
Pinehurst, NC 28374-9191
Phone (910) 295-3344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890249K | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0938256 | Pinehurst Nephrology Associates | Provider-performed microscopy | Jan 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
293 Olmsted Blvd
Ste 7
Pinehurst, NC 28374
Phone (910) 295-3344
921 S Long Dr
Ste 102
Rockingham, NC 28379
Phone (910) 295-3344
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Nephrology Physician
- Pinehurst, NC
- NPI 1174526123
-
- Nephrology Physician
- Pinehurst, NC
- NPI 1447235965
-
- Nephrology Physician
- Pinehurst, NC
- NPI 1740778414
-
- Nephrology Physician
- Pinehurst, NC
- NPI 1225031271
-
- Nephrology Physician
- Wilmington, NC
- NPI 1225028525
-
- Nephrology Physician
- Pinehurst, NC
- NPI 1750384798
-
- Physician Assistant
- Pinehurst, NC
- NPI 1811025380
-
- Nephrology Physician
- Pinehurst, NC
- NPI 1518533678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1700889557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 OLMSTED BLVD STE 7",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749191",
"telephone_number": "910-295-3344",
"fax_number": "910-295-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 OLMSTED BLVD STE 7",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749191",
"telephone_number": "910-295-3344",
"fax_number": "910-295-3165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINEHURST NEPHROLOGY ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-24",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "CORBETT",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "DELEGATED OFFICIAL",
"authorized_official_telephone_number": "910-295-3344"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "9700591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890249K",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
- Pinehurst Geriatrics, Inc
- Pinehurst Medical Clinic Inc (Pinehurst Medical Clinic Pharmacy)
- Pinehurst Medical Clinic, Inc.
- Pinehurst Medical Clinic, Inc. (Pinehurst Medical Clinic Endoscopy Center)
- Pinehurst Medical Clinic, Inc.
- Pinehurst Neurology, PA
- Pinehurst Neuropsychology, PLLC
- Pinehurst Nursing Center, Inc. (Pinehurst Healthcare and Rehabilitation)
- Pinehurst Nursing Center, Inc. (Pinehurst Healthcare and Rehabilitation Center)
- Pinehurst OBGYN Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.