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NORTH CAROLINA NEPHROLOGY PA
NPI 1134623002
Internal Medicine - Nephrology in Smithfield, NC

Active since March 23, 2018
1559 E BOOKER DAIRY RD STE B, SMITHFIELD, NC 27577(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: November 01, 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 1134623002) is a healthcare organization registered as a nephrology in Smithfield, 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

NPI1134623002
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTH CAROLINA NEPHROLOGY PA
Location Address1559 E BOOKER DAIRY RD STE BSmithfield, NC 27577-9442
Mailing Address3700 Barrett Dr Ste 200Raleigh, NC 27609-7213 · (919) 231-3966 · Fax (919) 231-3912
Phone(919) 876-7807
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 1134623002 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.
1559 E BOOKER DAIRY RD STE B, Smithfield, NC 27577
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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. Of these, 1 practice at this address and 2 within 10 miles. 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
Maureen Adams, FNP-BC, NP-C
Nurse Practitioner
NPI 1548923972
1559 E BOOKER DAIRY RD STE B
Smithfield, NC 27577
(919) 876-7807
✔ PECOSSame address
Phyllis Merritt-James, NP
Nurse Practitioner
NPI 1588790877
545 E MARKET ST
Smithfield, NC 27577
(919) 876-7807
✔ PECOS✔ Accepts Medicare1.8 mi
Ellen Dillavou, MD
Vascular Surgery
NPI 1932172442
3000 NEW BERN AVE
Raleigh, NC 27610
(919) 350-8000
✔ PECOS✔ Accepts Medicare24 mi
Frederick Jones, M.D.
Nephrology
NPI 1023044013
3031 NEW BERN AVE SUITE 306
Raleigh, NC 27610
(919) 231-3966
✔ PECOS24 mi
Daniel Koenig, M.D.
Nephrology
NPI 1558399907
3031 NEW BERN AVE SUITE 306
Raleigh, NC 27610
(919) 231-3966
✔ PECOS24 mi
Anwar Al-Haidary
Nephrology
NPI 1205829066
2503 WOOTEN BLVD SW
Wilson, NC 27893
(252) 243-2268
✔ PECOS✔ Accepts Medicare25 mi
Mark Rothman, M.D.
Nephrology
NPI 1891774840
3604 BUSH ST 2ND FLOOR
Raleigh, NC 27609
(919) 876-7807
✔ PECOS27 mi
Michael Monahan, M.D.
Nephrology
NPI 1447238480
3604 BUSH ST 2ND FLOOR
Raleigh, NC 27609
(919) 876-7807
✔ PECOS27 mi
Rosanne Harnois, AGNP
Nurse Practitioner
NPI 1225492788
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare28 mi
Michael Casey, M.D.
Nephrology
NPI 1003894056
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare28 mi
Shannon Clark, AGNP RN
Nurse Practitioner
NPI 1508299777
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare28 mi
Dustin Coats, FNP-C
Nurse Practitioner
NPI 1922710656
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare28 mi
Racquel Holmes
Internal Medicine
NPI 1801250352
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare28 mi
Joseph Ruberwa
Internal Medicine
NPI 1508360215
3700 BARRETT DR STE 200
Raleigh, NC 27609
(919) 231-3966
✔ PECOS✔ Accepts Medicare28 mi
Dorian Defreitas, MD
Vascular Surgery
NPI 1790984375
4414 LAKE BOONE TRL STE 505
Raleigh, NC 27607
(919) 784-2300
✔ PECOS✔ Accepts Medicare30 mi
Michael Hall, M.D.
Vascular Surgery
NPI 1043530553
4414 LAKE BOONE TRL STE 505
Raleigh, NC 27607
(919) 784-2300
✔ PECOS✔ Accepts Medicare30 mi
Jason Kim, MD
Vascular Surgery
NPI 1376733873
4414 LAKE BOONE TRL
Raleigh, NC 27607
(919) 784-2300
✔ PECOS✔ Accepts Medicare30 mi
Christine Khandelwal, MD
Family Practice
NPI 1265639207
110 KILDAIRE PARK DR
Cary, NC 27518
(919) 235-6575
✔ PECOS✔ Accepts Medicare30 mi
Camila Diaz, M.D.
Family Practice
NPI 1073965786
250 HOSPICE CIR
Raleigh, NC 27607
(919) 828-0890
✔ PECOS✔ Accepts Medicare31 mi
Alyssa Luddy, MD
Hospice/Palliative Care
NPI 1124285572
250 HOSPICE CIR
Raleigh, NC 27607
(919) 828-0890
✔ PECOS✔ Accepts Medicare31 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.

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 1134623002. 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 1559 E Booker Dairy Rd Ste B, Smithfield, NC 27577. 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). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.