Samuel Jefferson Peeples, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

201900335 Issued in NC

Practice address

309 New St
Greensboro, NC 27405-3654

Phone

(336) 379-9708

Fax

(336) 379-8714

NPI assigned

May 4, 2016

Last updated

Sep 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

NephrologyAlso: Internal Medicine

Education

University of Mississippi School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Kidney Associates PAGroup PAC ID 8628979952, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC of East Greensboro Dialysis facility, Greensboro, NC, CCN 342634
• FMC Rockingham Kidney Center Dialysis facility, Reidsville, NC, CCN 342641
• Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10065404

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Kidney Associates PA

  • Nephrology Physician
  • Greensboro, NC
  • NPI 1700831799
  Medicare reassignment Care Compare group NPD
• Carolina Kidney Associates

  • Nephrology Physician
  • Asheboro, NC
  • NPI 1053367086
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of North Carolina, Inc.

  dba Bma of Rockingham County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Reidsville, NC
  • NPI 1700976206

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of North Carolina, Inc.

  dba Fresenius Medical Care of East Greensboro

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Greensboro, NC
  • NPI 1962582973

  Dialysis facility

  Care Compare affiliation Name & address match
• The Moses H. Cone Memorial Hospital Operating Corporation

  • General Acute Care Hospital
  • Greensboro, NC
  • NPI 1477591055
  Care Compare affiliation

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1760837165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NEW ST # 309",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053654",
            "telephone_number": "336-379-9708",
            "fax_number": "336-379-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053654",
            "telephone_number": "336-379-9708",
            "fax_number": "336-379-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEPLES",
        "first_name": "SAMUEL",
        "middle_name": "JEFFERSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2019-00335",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "201900335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Ophthalmology Associates, P.a.
• Pediatric Opthalmology Assoc PA (Kidspecs)
• Pediatric Speech & Language Services Inc
• Pediatric Therapy Connection, PLLC
• Pediatric Therapy Services, Inc.
• Holly W Pegram
• Samuel James Peickert, DNP-C
• Peidmont Nursing Group Inc
• Somarna Pekala
• Amber Pelezo

• Nephrology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.

Verify at the official NPI Registry.