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

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

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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 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

Phone(704) 873-6515

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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) 34D0916238

Kidney Care PC · Statesville, NC

Expired · Jun 17, 2026

CLIA Number34D0916238

Laboratory TypePhysician Office

Certificate Effective DateJune 18, 2024

Certificate Expiration DateJune 17, 2026

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.

Other Providers at the Same Location NPPES 5

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

DR. JEAN-CLAUDE HYPPOLITE MD

Internal Medicine (Nephrology)