Albemarle Nephrology PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

138840 Issued in NC

Legal business name

ALBEMARLE NEPHROLOGY PLLC

Practice address

206 Hastings Lane
Elizabeth City, NC 27909-3324

Phone

(252) 335-1083

Fax

(252) 335-4030

NPI assigned

Dec 19, 2006

Last updated

Jul 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Greg A Warren, DONPI 1245270131

Title

Partner

Phone

(252) 335-1083

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Albemarle Nephrology Assoc Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Albemarle Nephrology Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Albemarle Nephrology PLLC

  • Nephrology Physician
  • Manteo, NC
  • NPI 1932384765
  NPD tax ID

Practitioners 5

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.

• Greg A Warren, DO

  • Nephrology Physician
  • Elizabeth City, NC
  • NPI 1245270131
  Medicare reassignment Care Compare group NPD Authorized official
• Lori Sue Leisenring, ANP-C

  • Nurse Practitioner
  • Elizabeth City, NC
  • NPI 1326688300
  Medicare reassignment Care Compare group NPD
• Ravi Ramsamooj, MD

  • Nephrology Physician
  • Elizabeth City, NC
  • NPI 1124012406
  Medicare reassignment Care Compare group NPD
• Quratulain Shabbir, M.D.

  • Nephrology Physician
  • Hot Springs, AR
  • NPI 1457663155

  NC

  Medicare reassignment Care Compare group NPD
• Tuesday B Sauer, ANP-C

  • Nurse Practitioner
  • Elizabeth City, NC
  • NPI 1174801112
  Medicare reassignment NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1861555799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HASTINGS LANE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093324",
            "telephone_number": "252-335-1083",
            "fax_number": "252-335-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HASTINGS LANE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093324",
            "telephone_number": "252-335-1083",
            "fax_number": "252-335-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "252-335-1083",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "138840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890109F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DF7627",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "018R4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albemarle Nephrology Assoc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Albemarle Nephrology Assoc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Albemarle Mental Health Center
• Albemarle Mental Health Center
• Albemarle Mental Health Center
• Albemarle Mental Heatlh Center
• Albemarle Nephrology Assoc (Karl Brandspigel MD)
• Albemarle Neurology, P. a.
• Albemarle Orthotics & Prosthetics, Inc
• Albemarle Physician Services - Sentara, Inc (Sentara Orthopedic and Sports Medicine)
• Albemarle Physician Services - Sentara, Inc (Sentara Family Medicine Physicians & Orthopedic Specialists)
• Albemarle Physician Services - Sentara, Inc (Sentara Neurology Specialists)

• Nephrology Physician in Elizabeth City, NC
• Providers in Elizabeth City, 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 Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.