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OCONEE KIDNEY CENTER, LLC
NPI 1407242050
Internal Medicine - Nephrology in Seneca, SC

Active since April 10, 2015CLIA 42D1070626 · Waiver
109 OMNI DR, SUITE B, SENECA, SC 29672(864) 885-7881(864) 885-7885 Get Directions Write a Review

NPPES record last updated: April 10, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Oconee Kidney Center, Llc NPPES

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

OCONEE KIDNEY CENTER, LLC (NPI 1407242050) is a healthcare organization registered as a nephrology in Seneca, South Carolina and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through July 4, 2027 and lists Kevin Ross O'brien, Owner, as its authorized official.

NPPES Registry Identity

NPI1407242050
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameOCONEE KIDNEY CENTER, LLC
Location Address109 OMNI DR, SUITE BSeneca, SC 29672-9448
Mailing Address109 Omni Dr, Suite BSeneca, SC 29672-9448 · (864) 885-7881 · Fax (864) 885-7885
Phone(864) 885-7881
Fax(864) 885-7885
Organization SubpartNo
Authorized OfficialKevin Ross O'brienOwner · (864) 885-7881
Enumeration DateApril 10, 2015
✔ NPI 1407242050 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.
109 OMNI DR, Seneca, SC 29672
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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 Health, Ambetter of North Carolina.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)

Oconee Kidney Center, Llc 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 Oconee Kidney Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kevin O Brien, D.O.
Internal Medicine
NPI 1588636138
107 OMNI DR STE B
Seneca, SC 29672
(864) 885-7881
✔ PECOS✔ Accepts Medicare0.1 mi
Helen Johnson-Wall, M.D.
Nephrology
NPI 1730151481
301 MEMORIAL DR STE F
Seneca, SC 29672
(864) 885-7758
✔ PECOS✔ Accepts Medicare0.3 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 of Waiver 42D1070626

Oconee Kidney Center, LLC · Seneca, SC
Active · expires Jul 4, 2027
CLIA Number42D1070626
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorKevin R. O'brien
Laboratory Phone(864) 885-7881
Laboratory LocationOconee Kidney Center, LLC107 Omni Dr Ste B, Seneca, SC 29672
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Oconee Kidney Center, LLC's NPI number?

The NPI number for Oconee Kidney Center, LLC is 1407242050. It was assigned to this organization in the NPPES registry on April 10, 2015.

Where is Oconee Kidney Center, LLC located?

Oconee Kidney Center, LLC is located at 109 Omni Dr Suite B, Seneca, SC 29672. The listed phone number is (864) 885-7881.

What is Oconee Kidney Center, LLC's specialty?

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

Is Oconee Kidney Center, LLC enrolled in Medicare?

Yes. Oconee Kidney Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oconee Kidney Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Oconee Kidney Center, LLC, 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.

Does Oconee Kidney Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1070626) is associated with this NPI, valid through July 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Oconee Kidney Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Oconee Kidney Center, LLC 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 Oconee Kidney Center, LLC was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.