North Carolina Nephrology PA
Organization Active NPI Nephrology Physician · Raleigh, NC
NPI 1750835336 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1750835336
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- NORTH CAROLINA NEPHROLOGY PA
- Practice address
- 3700 Barrett Dr Ste 200
Raleigh, NC 27609-7172 - Phone
- (919) 231-3966
- Fax
- (919) 231-3912
- NPI assigned
- Aug 11, 2016
- Organization subpart
- No
Authorized official
- Name
- Jennifer Capps
- Title
- Billing Manager
- Phone
- (919) 231-3966
Other NPIs on the same Medicare enrollment 6
Member organizations 1
Practitioners 71
-
Maureen Galos Adams, FNP-BC, NP-C
-
Ankita Ashoka, MD
-
Michael Joseph Casey, M.D.
-
Shannon Joan Clark, AGNP RN
-
Dustin Brandon Coats, FNP-C
-
Lorie Tyson Collier, ANP
-
Camila Diaz, M.D.
-
Ellen D Dillavou, MD
-
Jason James Eckel, M.D.
-
William Li-Goon Fan, M.D.
-
Rosanne Harnois, AGNP
-
Anne Catherine Harris, DNP, FNP-C
-
Akhil Sadanand Hegde, M.D.
-
So Yoon Jang, M.D.
-
Pankaj Jawa, MD
-
Jason K Kim, MD
-
Martyn Knowles, MD
-
Kevin Michael Lee, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170103000254 | NC | Part B Supplier - Clinic/Group Practice | 0244511483 |
Receives reassigned benefits from 68 practitioners 9 other NPIs on this enrollment Practice locations: Raleigh, NC; Wilson, NC; Wake Forest, NC; Smithfield, NC; Louisburg, NC; Fuquay Varina, NC; Dunn, NC; Cary, NC |
National Provider Directory
Locations
790 SE Cary Pkwy
Ste 101
Cary, NC 27511
Phone (919) 235-0644
790 SE Cary Pkwy
Ste 201
Cary, NC 27511
Phone (919) 354-0840
216 N Bickett Blvd
Ste 5
Louisburg, NC 27549
Phone (919) 496-6922
3130 New Bern Ave Ste 306
Raleigh, NC 27610
1559 E Booker Dairy Rd
Smithfield, NC 27577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
3700 Barrett Dr Ste 200
Raleigh, NC 27609-7172
Mailing address
3700 Barrett Dr Ste 200
Raleigh, NC 27609-7172
Phone (919) 231-3966
Other practice location 1
3031 New Bern Ave Ste 200
Raleigh, NC 27610-2989
Phone (919) 747-7820
Other practice location 2
2503 Wooten Blvd SW
Wilson, NC 27893-4426
Phone (252) 243-2268
Other practice location 3
216 N Bickett Blvd Ste 5
Louisburg, NC 27549-2473
Phone (919) 231-3966
Other practice location 4
700 Tilghman Dr Ste 722
Dunn, NC 28334-5519
Phone (919) 876-7807
Other practice location 5
1559 E Booker Dairy Rd Ste B
Smithfield, NC 27577-9442
Phone (919) 876-7807
Other practice location 6
2824 Rogers Rd Ste 104
Wake Forest, NC 27587-3896
Phone (919) 231-3966
Other practice location 7
790 SE Cary Pkwy Ste 101
Cary, NC 27511-5678
Phone (919) 235-0644
Other practice location 8
916 S Main St Ste 240
Fuquay Varina, NC 27526-2420
Phone (919) 235-0644
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ncnephrologyassociates@directaddress.net | Health Information Exchange (HIE) |
Other providers in Raleigh, NC
- 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
- North Carolina Physicians Eyecare Group, P.C.
All providers in Raleigh, NC · Nephrology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.