NPIMap

Organization Active NPI

Central Nephrology Clinic PLLC

  • Nephrology Physician
  • Flowood, MS
National Provider Identifier
1942576277
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CENTRAL NEPHROLOGY CLINIC PLLC
Practice address
102 Riverview Dr Ste a
Flowood, MS 39232-8908
Phone
(601) 981-1610
Fax
(601) 366-2887
NPI assigned
Mar 30, 2012
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Sheila Leach
Title
Dir. Rev. Cycle, Audit & Compliance
Phone
(601) 709-8814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

102 Riverview Dr Ste a
Flowood, MS 39232-8908

Mailing address

102 Riverview Dr Ste a
Flowood, MS 39232-8908
Phone (601) 981-1610

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cnc_10_continuity_of_care_documents2001507@direct.acumenmd.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120601000050 MS Part B Supplier - Clinic/Group Practice 7517120595 Receives reassigned benefits from 16 practitioners
Practice locations: Flowood, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0888005Central Nephrology Clinic PLLC102 Riverview Drive, Ste a, Flowood, MS 39232Provider-performed microscopyJun 21, 2028

National Provider Directory

National Provider Directory

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1942576277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RIVERVIEW DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328908",
            "telephone_number": "601-981-1610",
            "fax_number": "601-366-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RIVERVIEW DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328908",
            "telephone_number": "601-981-1610",
            "fax_number": "601-366-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEPHROLOGY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "DIR. REV. CYCLE, AUDIT & COMPLIANCE",
        "authorized_official_telephone_number": "601-709-8814"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnc_10_continuity_of_care_documents2001507@direct.acumenmd.com",
            "affiliation": "N",
            "endpointDescription": "Acumen EPIC Connect",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 Riverview Dr Ste A",
            "city": "Flowood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392328908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.

Verify at the official NPI Registry.