NEPHROLOGY & INTERNAL MEDICINE OF ANDERSON PA
NPI 1043275456
Internal Medicine - Nephrology in Anderson, SC

Active since April 19, 2006CLIA 42D0695269 · Microscopy
779 SENATE PKWY, ANDERSON, SC 29621(864) 224-8716(864) 226-2287 Get Directions Write a Review

NPPES record last updated: December 15, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nephrology & Internal Medicine Of Anderson Pa NPPES

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

NEPHROLOGY & INTERNAL MEDICINE OF ANDERSON PA (NPI 1043275456) is a healthcare organization registered as a nephrology in Anderson, South Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through October 4, 2027 and lists Elaine F Griffith, Manager, as its authorized official.

NPPES Registry Identity

NPI1043275456
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNEPHROLOGY & INTERNAL MEDICINE OF ANDERSON PA
Location Address779 SENATE PKWYAnderson, SC 29621-1820
Mailing Address779 Senate PkwyAnderson, SC 29621-1820 · (864) 224-8716 · Fax (864) 226-2287
Fax(864) 226-2287
Organization SubpartNo
Authorized OfficialElaine F GriffithManager · (864) 224-8716
Enumeration DateApril 19, 2006
Last NPPES UpdateDecember 15, 2009
✔ NPI 1043275456 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.
779 SENATE PKWY, Anderson, SC 29621

Other Identifiers 2

MedicaidPC040SC
Medicare PIN1619SC

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nephrology & Internal Medicine Of Anderson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20070307000668Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Nephrology & Internal Medicine Of Anderson PA, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nephrology
NPI 1356346332
779 SENATE PKWY
Anderson, SC 29621
(864) 224-8716
✔ PECOSSame address
Nephrology
NPI 1669424404
779 SENATE PKWY
Anderson, SC 29621
(864) 224-8716
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1477558740
779 SENATE PKWY
Anderson, SC 29621
(864) 224-8716
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801360748
779 SENATE PKWY
Anderson, SC 29621
(864) 224-8716
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801655006
779 SENATE PKWY
Anderson, SC 29621
(864) 224-8716
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1528583614
779 SENATE PKWY
Anderson, SC 29621
(864) 224-8716
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922623677
800 N FANT ST
Anderson, SC 29621
(864) 512-1000
✔ PECOS✔ Accepts Medicare1.2 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0695269

Nephrology & Int Med Of Anderson PA · Anderson, SC
Active · expires Oct 4, 2027
CLIA Number42D0695269
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorMuhammad K. Shakeel MD
Laboratory Phone(864) 224-8716
Laboratory LocationNephrology & Int Med Of Anderson PA779 Senate Parkway, Anderson, SC 29621
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Nephrology & Internal Medicine Of Anderson PA's NPI number?

The NPI number for Nephrology & Internal Medicine Of Anderson PA is 1043275456. It was assigned to this organization in the NPPES registry on April 19, 2006.

Where is Nephrology & Internal Medicine Of Anderson PA located?

Nephrology & Internal Medicine Of Anderson PA is located at 779 Senate Pkwy, Anderson, SC 29621. The listed phone number is (864) 224-8716.

What is Nephrology & Internal Medicine Of Anderson PA's specialty?

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

Is Nephrology & Internal Medicine Of Anderson PA enrolled in Medicare?

Yes. Nephrology & Internal Medicine Of Anderson PA is registered in the Medicare PECOS enrollment system.

When is Nephrology & Internal Medicine Of Anderson PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nephrology & Internal Medicine Of Anderson PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Nephrology & Internal Medicine Of Anderson PA. 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. The largest specialties are Nephrology (4) and Nurse Practitioner (3). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nephrology & Internal Medicine Of Anderson PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0695269) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nephrology & Internal Medicine Of Anderson PA accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare list Nephrology & Internal Medicine Of Anderson PA 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 Nephrology & Internal Medicine Of Anderson PA was last updated on December 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.