NORTH CAROLINA NEPHROLOGY PA
NPI 1053815993
Internal Medicine - Nephrology in Dunn, NC

Active since March 23, 2018
700 TILGHMAN DR STE 722, DUNN, NC 28334(919) 876-7807(919) 876-8823 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2024, Jun 3, 2021, Mar 23, 2018 (3 updates tracked since 2018).

About North Carolina Nephrology Pa NPPES

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

NORTH CAROLINA NEPHROLOGY PA (NPI 1053815993) is a healthcare organization registered as a nephrology in Dunn, North Carolina and active in the NPI registry since March 2018. The organization lists Jennifer Capps, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1053815993
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTH CAROLINA NEPHROLOGY PA
Location Address700 TILGHMAN DR STE 722Dunn, NC 28334-5519
Mailing Address3700 Barrett Dr Ste 200Raleigh, NC 27609-7213 · (919) 231-3966 · Fax (919) 231-3912
Fax(919) 876-8823
Organization SubpartNo
Authorized OfficialJennifer CappsBilling Manager · (919) 231-3966
Enumeration DateMarch 23, 2018
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1053815993 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.
700 TILGHMAN DR STE 722, Dunn, NC 28334

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)

North Carolina Nephrology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

59

Medicare enrollment records show 59 clinicians reassign Medicare billing to North Carolina Nephrology PA, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nephrology28
Nurse Practitioner19
Vascular Surgery5
Internal Medicine4
Family Practice2
Hospice/Palliative Care1

Nearest to this location (20)

See all 59
Nurse Practitioner
NPI 1588790877
545 E MARKET ST
Smithfield, NC 27577
(919) 876-7807
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1548923972
1559 E BOOKER DAIRY RD STE B
Smithfield, NC 27577
(919) 876-7807
✔ PECOS23 mi
Internal Medicine
NPI 1689604035
1218 WALTER REED RD
Fayetteville, NC 28304
(910) 323-1671
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1629297429
6590 TRYON RD
Cary, NC 27511
(919) 851-8000
✔ PECOS31 mi
Family Practice
NPI 1265639207
110 KILDAIRE PARK DR
Cary, NC 27518
(919) 235-6575
✔ PECOS✔ Accepts Medicare31 mi
Nephrology
NPI 1063075133
790 SE CARY PKWY STE 101
Cary, NC 27511
(919) 231-3966
✔ PECOS✔ Accepts Medicare32 mi
Nephrology
NPI 1801079884
790 SE CARY PKWY SUITE 101
Cary, NC 27511
(919) 231-3966
✔ PECOS✔ Accepts Medicare32 mi
Nephrology
NPI 1497783856
790 SE CARY PKWY SUITE 101
Cary, NC 27511
(919) 231-3966
✔ PECOS32 mi
Nephrology
NPI 1457504664
790 SE CARY PKWY STE 101
Cary, NC 27511
(919) 235-0644
✔ PECOS✔ Accepts Medicare32 mi
Internal Medicine
NPI 1669407706
790 SE CARY PKWY SUITE 101
Cary, NC 27511
(919) 231-3966
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1386752228
790 SE CARY PKWY STE 101
Cary, NC 27511
(919) 231-3966
✔ PECOS✔ Accepts Medicare32 mi
Vascular Surgery
NPI 1932172442
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts Medicare33 mi
Family Practice
NPI 1073965786
250 HOSPICE CIR
Raleigh, NC 27607
(919) 828-0890
✔ PECOS✔ Accepts Medicare35 mi
Hospice/Palliative Care
NPI 1124285572
250 HOSPICE CIR
Raleigh, NC 27607
(919) 828-0890
✔ PECOS✔ Accepts Medicare35 mi
Vascular Surgery
NPI 1790984375
4414 LAKE BOONE TRL STE 505
Raleigh, NC 27607
(919) 784-2300
✔ PECOS✔ Accepts Medicare35 mi
Vascular Surgery
NPI 1043530553
4414 LAKE BOONE TRL STE 505
Raleigh, NC 27607
(919) 784-2300
✔ PECOS✔ Accepts Medicare35 mi
Vascular Surgery
NPI 1376733873
4414 LAKE BOONE TRL
Raleigh, NC 27607
(919) 784-2300
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1508299777
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1922710656
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare36 mi
Internal Medicine
NPI 1801250352
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare36 mi
See all 59 clinicians

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

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #05508 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05508

DMEPOS supplier · Elizabethtown, NCOperated by North Carolina CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy #05508 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20320703
Medicare Participant SinceJanuary 1, 2023
Supplier Location371 S Poplar StElizabethtown, NC 28337
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 North Carolina Nephrology PA's NPI number?

The NPI number for North Carolina Nephrology PA is 1053815993. It was assigned to this organization in the NPPES registry on March 23, 2018.

Where is North Carolina Nephrology PA located?

North Carolina Nephrology PA is located at 700 Tilghman Dr Ste 722, Dunn, NC 28334. The listed phone number is (919) 876-7807.

What is North Carolina Nephrology PA's specialty?

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

Is North Carolina Nephrology PA enrolled in Medicare?

Yes. North Carolina Nephrology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Carolina Nephrology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 6 Medicare specialties reassign their Medicare billing to North Carolina Nephrology 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 (28), Nurse Practitioner (19) and Vascular Surgery (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Carolina Nephrology PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #05508 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for North Carolina Nephrology PA was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.