INTEGRATIVE KIDNEY ASSOCIATES, PLLC
NPI 1013665488
Internal Medicine - Nephrology in Charlotte, NC

Active since March 15, 2022
421 S SHARON AMITY RD STE B, CHARLOTTE, NC 28211(704) 826-3722(404) 506-9090 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2023, Sep 8, 2022, May 27, 2022 (3 updates tracked since 2022).

About Integrative Kidney Associates, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATIVE KIDNEY ASSOCIATES, PLLC (NPI 1013665488) is a healthcare organization registered as a nephrology in Charlotte, North Carolina and active in the NPI registry since March 2022. The organization lists Kaliliah Wilson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1013665488
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameINTEGRATIVE KIDNEY ASSOCIATES, PLLC
Location Address421 S SHARON AMITY RD STE BCharlotte, NC 28211-2882
Mailing Address421 S Sharon Amity Rd Ste BCharlotte, NC 28211-2882 · (704) 826-3722 · Fax (404) 506-9090
Fax(404) 506-9090
Organization SubpartNo
Authorized OfficialKaliliah WilsonCredentialing Specialist · (404) 287-3212
Enumeration DateMarch 15, 2022
Last NPPES UpdateOctober 2, 20233 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1013665488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
421 S SHARON AMITY RD STE B, Charlotte, NC 28211

Other Identifiers 1

Medicaid5911907NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrative Kidney Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Integrative Kidney Associates, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1730354002
288 S RIDGECREST AVE
Rutherfordton, NC 28139
(828) 286-5000
✔ PECOS✔ Accepts Medicare67 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrative Kidney Associates, PLLC's NPI number?

The NPI number for Integrative Kidney Associates, PLLC is 1013665488. It was assigned to this organization in the NPPES registry on March 15, 2022.

Where is Integrative Kidney Associates, PLLC located?

Integrative Kidney Associates, PLLC is located at 421 S Sharon Amity Rd Ste B, Charlotte, NC 28211. The listed phone number is (704) 826-3722.

What is Integrative Kidney Associates, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Integrative Kidney Associates, PLLC enrolled in Medicare?

Yes. Integrative Kidney Associates, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Kidney Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Integrative Kidney Associates, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Integrative Kidney Associates, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Integrative Kidney Associates, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integrative Kidney Associates, PLLC was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.