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ATLANTIC NEPHROLOGY INC
NPI 1376704155
Internal Medicine - Nephrology in Flagler Beach, FL

Active since June 24, 2008
210 OLD KINGS RD S STE 900, FLAGLER BEACH, FL 32136(383) 338-3550(386) 338-3551 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2025, Sep 11, 2025 (2 updates tracked since 2025).

About Atlantic Nephrology Inc NPPES

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

ATLANTIC NEPHROLOGY INC (NPI 1376704155) is a healthcare organization registered as a nephrology in Flagler Beach, Florida and active in the NPI registry since June 2008. The organization lists William Bonlore Ferguson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1376704155
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameATLANTIC NEPHROLOGY INC
Location Address210 OLD KINGS RD S STE 900Flagler Beach, FL 32136-4380
Mailing Address210 Old Kings Rd S Ste 900Flagler Beach, FL 32136-4380 · (386) 338-3550 · Fax (386) 338-3551
Phone(383) 338-3550
Fax(386) 338-3551
Organization SubpartNo
Authorized OfficialWilliam Bonlore FergusonPresident/owner · (386) 871-3767
Enumeration DateJune 24, 2008
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1376704155 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 FL · ME94793
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.
210 OLD KINGS RD S STE 900, Flagler Beach, FL 32136
Open in Google Maps ↗

Other Identifiers 4

Medicaid000159300FL
OtherAD824ZFL · Ptan
Medicaid250792700FL
Other40336FL · Medicare Number

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)

Atlantic Nephrology Inc 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 Atlantic Nephrology Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Becki Melton, MD
Internal Medicine
NPI 1477714269
61 MEMORIAL MEDICAL PKWY SUITE 3806
Palm Coast, FL 32164
(386) 437-7340
✔ PECOS✔ Accepts Medicare0.8 mi
William Ferguson, PHD, MD
Nephrology
NPI 1003842071
61 MEMORIAL MEDICAL PKWY SUITE 3806
Palm Coast, FL 32164
(386) 437-7340
✔ PECOS✔ Accepts Medicare0.8 mi

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 Atlantic Nephrology Inc's NPI number?

The NPI number for Atlantic Nephrology Inc is 1376704155. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Atlantic Nephrology Inc located?

Atlantic Nephrology Inc is located at 210 Old Kings Rd S Ste 900, Flagler Beach, FL 32136. The listed phone number is (383) 338-3550.

What is Atlantic Nephrology Inc's specialty?

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

Is Atlantic Nephrology Inc enrolled in Medicare?

Yes. Atlantic Nephrology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlantic Nephrology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Atlantic Nephrology Inc, in Internal Medicine and Nephrology. 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, 2 practice 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 Atlantic Nephrology Inc was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.