SPARTANBURG NEPHROLOGY ASSOCIATES - NPI 1437108461 - Internal Medicine in Spartanburg, SC

Q: What is Nephrology Associates Of Spartanburg, LLC's specialty?

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

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About Spartanburg Nephrology Associates NPPES

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

SPARTANBURG NEPHROLOGY ASSOCIATES (NPI 1437108461) is a healthcare organization registered as a nephrology in Spartanburg, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Donna R Lancaster, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1437108461

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameNEPHROLOGY ASSOCIATES OF SPARTANBURG, LLC

Location Address322 N PINE STSpartanburg, SC 29302-1631

Mailing Address322 N Pine StSpartanburg, SC 29302-1631 · (864) 582-5099 · Fax (864) 327-1098

Phone(864) 582-5099

Fax(864) 327-1098

Organization SubpartNo

Authorized OfficialDonna R LancasterPractice Manager · (864) 582-5099

Enumeration DateMay 8, 2006

Last NPPES UpdateJune 1, 2022

NPPES CertifiedNovember 15, 2021

✔ NPI 1437108461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

322 N PINE ST, Spartanburg, SC 29302

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Other Names 1

Doing Business AsSpartanburg Nephrology Associates

Other Identifiers 7

Medicaid5907795NC

OtherDE7625SC · Rail Road Medicare Grp#

Medicaid5903663NC

MedicaidGP4718SC

MedicaidGP4404SC

Other20053685SC · Select Health

Other8516SC · Medicare

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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) 42D0866103

Nephrology Associates Of Spartanburg LLC Dba Spartanburg Nephrology Associates · Spartanburg, SC

Active · expires Aug 31, 2026

CLIA Number42D0866103

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorMuhammad Ebrahim, MD

Laboratory Phone(864) 582-5099

Laboratory LocationNephrology Associates Of Spartanburg LLC Dba Spartanburg Nephrology Associates322 North Pine St, Spartanburg, SC 29302

CLIA data matches this NPI record on: Address Name Phone

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 13

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

DR. STEPHEN L GARRELL MD

Internal Medicine (Nephrology)