N.C. KIDNEY CARE, P.A.
NPI 1396966412
Internal Medicine - Nephrology in Wilson, NC

Active since May 02, 2007
2605 FOREST HILLS RD SW STE A, WILSON, NC 27893(252) 293-9898(252) 293-9915 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About N.c. Kidney Care, P.a. NPPES

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

N.C. KIDNEY CARE, P.A. (NPI 1396966412) is a healthcare organization registered as a nephrology in Wilson, North Carolina and active in the NPI registry since May 2007. The organization lists Robert William Bynum, Physician, as its authorized official.

NPPES Registry Identity

NPI1396966412
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameN.C. KIDNEY CARE, P.A.
Location Address2605 FOREST HILLS RD SW STE AWilson, NC 27893-4448
Mailing Address2605 Forest Hills Rd Sw Ste AWilson, NC 27893-4448 · (252) 293-9898 · Fax (252) 293-9915
Fax(252) 293-9915
Organization SubpartNo
Authorized OfficialRobert William BynumPhysician · (252) 293-9898
Enumeration DateMay 2, 2007
Last NPPES UpdateNovember 1, 2021
NPPES CertifiedNovember 1, 2021
✔ NPI 1396966412 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.
2605 FOREST HILLS RD SW STE A, Wilson, NC 27893

Other Identifiers 2

Other0139CNC · Blue Cross Goup Number
Medicaid890139CNC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to N.C. Kidney Care, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nephrology
NPI 1477525111
2605 FOREST HILLS RD SW STE A
Wilson, NC 27893
(252) 293-9898
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1215229612
2605 FOREST HILLS RD SW STE A
Wilson, NC 27893
(252) 293-9898
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164770699
401 MOYE BLVD
Greenville, NC 27834
(252) 830-2149
✔ PECOS31 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 N.C. Kidney Care, P.A.'s NPI number?

The NPI number for N.C. Kidney Care, P.A. is 1396966412. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is N.C. Kidney Care, P.A. located?

N.C. Kidney Care, P.A. is located at 2605 Forest Hills Rd SW Ste A, Wilson, NC 27893. The listed phone number is (252) 293-9898.

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

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

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

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to N.C. Kidney Care, P.A., in Internal Medicine, Nephrology and Nurse Practitioner. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Health plans from Blue Cross and Blue Shield of NC list N.C. Kidney Care, P.A. 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 N.C. Kidney Care, P.A. was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.