CENTRAL CAROLINA NEPHROLOGY PA
NPI 1205801412
Specialist in Concord, NC

Active since February 21, 2006
200 MEDICAL PARK DR, STE 320, CONCORD, NC 28025(704) 786-7770(704) 788-9351 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Central Carolina Nephrology Pa NPPES

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

CENTRAL CAROLINA NEPHROLOGY PA (NPI 1205801412) is a healthcare organization registered as a specialist in Concord, North Carolina and active in the NPI registry since February 2006. The organization lists William Kenneth Halstenberg, President, as its authorized official.

NPPES Registry Identity

NPI1205801412
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCENTRAL CAROLINA NEPHROLOGY PA
Location Address200 MEDICAL PARK DR, STE 320Concord, NC 28025-2982
Mailing Address200 Medical Park Dr, Ste 320Concord, NC 28025-2982 · (704) 786-7770 · Fax (704) 788-9351
Fax(704) 788-9351
Organization SubpartNo
Authorized OfficialWilliam Kenneth HalstenbergPresident · (704) 786-7770
Enumeration DateFebruary 21, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1205801412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

200 MEDICAL PARK DR, Concord, NC 28025

Other Identifiers 2

Medicaid890213HNC
Other0213HNC · Bcbs Group #

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
200 MEDICAL PARK DR, SUITE 430
CONCORD, NC 28025
Internal Medicine (Infectious Disease)
200 MEDICAL PARK DR, STE 208, NORTHEAST INFECTIOUS DISEASES
CONCORD, NC 28025
Internal Medicine (Rheumatology)
200 MEDICAL PARK DR, STE 330
CONCORD, NC 28025
Physician Assistant
200 MEDICAL PARK DR
CONCORD, NC 28025
Nurse Practitioner
200 MEDICAL PARK DR, SUITE 145 NE ONCOLOGY
CONCORD, NC 28025
Internal Medicine
200 MEDICAL PARK DR, STE 300
CONCORD, NC 28025
Internal Medicine (Rheumatology)
200 MEDICAL PARK DR, STE 330
CONCORD, NC 28025
Internal Medicine
200 MEDICAL PARK DR, STE 550
CONCORD, NC 28025

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 Central Carolina Nephrology PA's NPI number?

The NPI number for Central Carolina Nephrology PA is 1205801412. It was assigned to this organization in the NPPES registry on February 21, 2006.

Where is Central Carolina Nephrology PA located?

Central Carolina Nephrology PA is located at 200 Medical Park Dr Ste 320, Concord, NC 28025. The listed phone number is (704) 786-7770.

What is Central Carolina Nephrology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Central Carolina Nephrology PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.