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NORTHLAKE NEPHROLOGY PLLC
NPI 1174548028
Internal Medicine - Nephrology in Statesville, NC

Active since July 13, 2006CLIA 34D1075062 · Microscopy
1665 DAVIE AVE, STATESVILLE, NC 28677(704) 978-0052(704) 978-0054 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northlake Nephrology Pllc NPPES

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

NORTHLAKE NEPHROLOGY PLLC (NPI 1174548028) is a healthcare organization registered as a nephrology in Statesville, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through October 11, 2027 and lists Sinasi Salman, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1174548028
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTHLAKE NEPHROLOGY PLLC
Location Address1665 DAVIE AVEStatesville, NC 28677-3519
Mailing Address125 Henry LnMooresville, NC 28117-8767 · (704) 660-8878
Phone(704) 978-0052
Fax(704) 978-0054
Organization SubpartNo
Authorized OfficialSinasi SalmanMedical Doctor · (704) 978-0052
Enumeration DateJuly 13, 2006
Last NPPES UpdateOctober 16, 2013
✔ NPI 1174548028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NC · 200200166
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.
1665 DAVIE AVE, Statesville, NC 28677
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Other Identifiers 5

Medicaid89131MKNC
OtherDF7259NC · Railroad Medicare
Medicare UPING80079NC
Other89131MKNC · Bcbs
Medicare PIN2327545NC

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC.Insurance ›

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) 34D1075062

Northlake Nephrology, PLLC · Statesville, NC
Active · expires Oct 11, 2027
CLIA Number34D1075062
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorSinasi Salman
Laboratory Phone(704) 978-0052
Laboratory LocationNorthlake Nephrology, PLLC1665 Davie Avenue, Statesville, NC 28677
CLIA data matches this NPI record on: Address Name 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 Northlake Nephrology PLLC's NPI number?

The NPI number for Northlake Nephrology PLLC is 1174548028. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Northlake Nephrology PLLC located?

Northlake Nephrology PLLC is located at 1665 Davie Ave, Statesville, NC 28677. The listed phone number is (704) 978-0052.

What is Northlake Nephrology PLLC's specialty?

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

Does Northlake Nephrology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1075062) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northlake Nephrology PLLC accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Northlake Nephrology 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 Northlake Nephrology PLLC was last updated on October 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.