Individual provider Active NPI

Samuel Bryson Fleming II, M.D.

  • Nephrology Physician
  • Asheville, NC
National Provider Identifier
1770587743
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
96-00805 Issued in NC
Practice address
10 McDowell St
Asheville, NC 28801-4104
Phone
(828) 258-8545
Fax
(828) 254-0714
NPI assigned
Jun 8, 2005
Last updated
Jul 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 96-00805 NC Primary

Addresses

Primary practice location

10 McDowell St
Asheville, NC 28801-4104

Mailing address

PO Box 63296
Charlotte, NC 28263-3296
Phone (828) 258-8545

Other identifiers 3

IdentifierTypeStateIssuer
Q0080AMedicaidSC
32525OtherNCNC BLUE CROSS PROVIDER #
8932525MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040609000971 NC Practitioner - Nephrology 8921081134 Reassigns benefits to 1 organization
I20241106003238 TX Practitioner - Internal Medicine 8921081134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain Kidney and Hypertension Associates PAGroup PAC ID 0244213502, 18 clinicians

Practice addresses (Care Compare)

1 Hospital Rd
Caller Box C 268
Cherokee, TX 28719-9253
Phone (828) 497-9163

10 McDowell St
Asheville, NC 28801-4104
Phone (828) 258-8545

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96-00805NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Indian Hospital Authority CurrentSince Aug 5, 2024 Accepting new patients
Mountain Kidney & Hypertension Associates, P.a. Nephrology CurrentSince Jul 8, 1996 Accepting new patients
Cherokee Indian Hospital Authority Current Accepting new patients
Cherokee Indian Hospital Authority CurrentSince Aug 5, 2024 Accepting new patients
Total Renal Care of North Carolina LLC Past Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients

Locations

10 McDowell St
Asheville, NC 28801

10 McDowell St
#110
Asheville, NC 28801
Phone (828) 255-2839

1600 Centrepark Dr
Asheville, NC 28805
Phone (828) 251-1224

1664 Probart St
Brevard, NC 28712
Phone (828) 506-0033

840 Fleming St
Ste 6
Hendersonville, NC 28791
Phone (252) 258-1586

500 Beverly Hanks Ctr
Hendersonvlle, NC 28792
Phone (828) 693-6557

93 Family Church Rd
Murphy, NC 28906

141 Tryon Rd
Ste B
Rutherfordton, NC 28139
Phone (704) 286-1445

11728 S 226 Hwy
Spruce Pine, NC 28777
Phone (828) 765-4201

655 Asheville Hwy
Sylva, NC 28779
Phone (828) 586-3340

Interoperability endpoints

  • Direct secure messaging: samuel.fleming@mkha.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1770587743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63296",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633296",
            "telephone_number": "828-258-8545",
            "fax_number": "844-378-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MCDOWELL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014104",
            "telephone_number": "828-258-8545",
            "fax_number": "828-254-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "SAMUEL",
        "middle_name": "BRYSON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "96-00805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0080A",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE CROSS PROVIDER #",
            "identifier": "32525",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8932525",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.