KIDNEY CARE, P.C.
NPI 1295780781
Internal Medicine - Nephrology in Statesville, NC

Active since May 23, 2006CLIA 34D0916238 · Microscopy
2603 DAVIE AVE, STATESVILLE, NC 28625(704) 873-6515(704) 873-6508 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kidney Care, P.c. NPPES

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

KIDNEY CARE, P.C. (NPI 1295780781) is a healthcare organization registered as a nephrology in Statesville, North Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through June 17, 2028 and lists Shelia G Pennell, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1295780781
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE, P.C.
Location Address2603 DAVIE AVEStatesville, NC 28625-8256
Mailing Address2603 Davie AveStatesville, NC 28625-8256 · (704) 873-6515 · Fax (704) 873-6508
Fax(704) 873-6508
Organization SubpartNo
Authorized OfficialShelia G PennellPractice Manager · (704) 873-6515
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1295780781 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.
2603 DAVIE AVE, Statesville, NC 28625

Other Identifiers 1

Medicaid890153LNC

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kidney Care, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kidney Care, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nephrology
NPI 1225059017
2603 DAVIE AVE
Statesville, NC 28625
(704) 873-6515
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1932158235
777 37TH ST SUITE C-107
Vero Beach, FL 32960
(772) 562-3234
✔ PECOS✔ Accepts Medicare562 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 for Provider-Performed Microscopy Procedures (PPMP) 34D0916238

Kidney Care PC · Statesville, NC
Active · expires Jun 17, 2028
CLIA Number34D0916238
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorWolfgang E. Lohrmann MD
Laboratory Phone(704) 662-8500
Laboratory LocationKidney Care PC2603 Davie Ave, Statesville, NC 28625
CLIA data matches this NPI record on: Address Name
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 Kidney Care, P.C.'s NPI number?

The NPI number for Kidney Care, P.C. is 1295780781. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Kidney Care, P.C. located?

Kidney Care, P.C. is located at 2603 Davie Ave, Statesville, NC 28625. The listed phone number is (704) 873-6515.

What is Kidney Care, P.C.'s specialty?

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

Is Kidney Care, P.C. enrolled in Medicare?

Yes. Kidney Care, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Care, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nephrology, reassign their Medicare billing to Kidney Care, P.C.. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kidney Care, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0916238) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidney Care, P.C. accept?

Health plans from AmeriHealth Caritas Next list Kidney Care, P.C. 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 Kidney Care, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.