CAROLINA KIDNEY ASSOCIATES
NPI 1053367086
Internal Medicine - Nephrology in Asheboro, NC

Active since May 25, 2006CLIA 34D2328143 · Waiver
212 FOUST STREET, CAROLINA KIDNEY ASSOCIATES PA, ASHEBORO, NC 27203(336) 626-0443(336) 379-8714 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolina Kidney Associates NPPES

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

CAROLINA KIDNEY ASSOCIATES (NPI 1053367086) is a healthcare organization registered as a nephrology in Asheboro, North Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Beverly L Mccaskill, Personnel Manager, as its authorized official.

NPPES Registry Identity

NPI1053367086
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCAROLINA KIDNEY ASSOCIATES
Location Address212 FOUST STREET, CAROLINA KIDNEY ASSOCIATES PAAsheboro, NC 27203-5404
Mailing Address309 New StreetGreensboro, NC 27405-3654 · (336) 379-9708 · Fax (336) 379-8714
Fax(336) 379-8714
Organization SubpartNo
Authorized OfficialBeverly L MccaskillPersonnel Manager · (336) 379-9708
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 17, 2018
✔ NPI 1053367086 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.
212 FOUST STREET, Asheboro, NC 27203

Other Identifiers 3

Medicaid8901598NC
Other01598NC · Cka's Bcbs Gp Prov #
OtherCD6638NC · Cka's Rrm Gp Prov #

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Carolina Kidney Associates, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nephrology14
Nurse Practitioner3

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1811367899
4515 PREMIER DR STE 403
High Point, NC 27265
(368) 022-9303
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1770289134
1200 N ELM ST
Greensboro, NC 27401
(336) 832-2820
✔ PECOS26 mi
Nurse Practitioner
NPI 1891309662
309 NEW ST
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1841562774
309 NEW ST
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1396371373
309 NEW ST
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1871887182
309 NEW ST
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1649226614
309 NEW ST
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1689835548
309 NEW ST
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1487282299
309 NEW ST
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1760837165
309 NEW ST
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1467653196
309 NEW STREET
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1992744650
309 NEW ST
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1528327889
309 NEW ST
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1053310383
309 NEW STREET
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1013034727
309 NEW ST CAROLINA KIDNEY ASSOCIATES
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1346635539
309 NEW ST
Greensboro, NC 27405
(336) 379-9708
✔ PECOS✔ Accepts Medicare28 mi
Nephrology
NPI 1073557633
970 NEWMAN RD
New Bern, NC 28562
(252) 633-9262
✔ PECOS✔ Accepts Medicare159 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 of Waiver 34D2328143

Carolina Kidney Associates · Greensboro, NC
Active · expires Aug 4, 2027
CLIA Number34D2328143
Laboratory TypePrison
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorDr. Ryan Sanford
Laboratory Phone(336) 379-9708
Laboratory LocationCarolina Kidney Associates309 New St, Greensboro, NC 27405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Carolina Kidney Associates's NPI number?

The NPI number for Carolina Kidney Associates is 1053367086. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Carolina Kidney Associates located?

Carolina Kidney Associates is located at 212 Foust Street Carolina Kidney Associates PA, Asheboro, NC 27203. The listed phone number is (336) 626-0443.

What is Carolina Kidney Associates's specialty?

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

Is Carolina Kidney Associates enrolled in Medicare?

Yes. Carolina Kidney Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Kidney Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Carolina Kidney Associates. 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 (14) and Nurse Practitioner (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Carolina Kidney Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2328143) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolina Kidney Associates was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.