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KIDNEY SPECIALISTS, P.C.
NPI 1477680205
Specialist in Memphis, TN

Active since February 28, 2007
1325 EASTMORELAND AVE, SUITE 335, MEMPHIS, TN 38104(901) 726-1199(901) 729-0794 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kidney Specialists, P.c. NPPES

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

KIDNEY SPECIALISTS, P.C. (NPI 1477680205) is a healthcare organization registered as a specialist in Memphis, Tennessee and active in the NPI registry since February 2007. The organization lists Nawar E Mansour, Physician, as its authorized official.

NPPES Registry Identity

NPI1477680205
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKIDNEY SPECIALISTS, P.C.
Location Address1325 EASTMORELAND AVE, SUITE 335Memphis, TN 38104-3519
Mailing Address1325 Eastmoreland Ave, Suite 335Memphis, TN 38104-3519 · (901) 726-1199 · Fax (901) 729-0794
Phone(901) 726-1199
Fax(901) 729-0794
Organization SubpartNo
Authorized OfficialNawar E MansourPhysician · (901) 729-1199
Enumeration DateFebruary 28, 2007
Last NPPES UpdateFebruary 8, 2012
✔ NPI 1477680205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · MD0000026012
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1325 EASTMORELAND AVE, Memphis, TN 38104
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN3721979TN

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)

Kidney Specialists, P.c. 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 Kidney Specialists, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nawar Mansour, M.D.
Nephrology
NPI 1720077589
1325 EASTMORELAND AVE SUITE 335
Memphis, TN 38104
(901) 726-1199
✔ PECOS✔ Accepts MedicareSame address
Alisha James-Scott, FNP
Nurse Practitioner
NPI 1679050934
9025 US-64
Lakeland, TN 38002
(901) 387-2998
✔ PECOS✔ Accepts Medicare15 mi
Teresa Hug, APN
Nurse Practitioner
NPI 1083732911
9668 105TH TER
Largo, FL 33773
(901) 596-6758
✔ PECOS✔ Accepts Medicare658 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 Kidney Specialists, P.C.'s NPI number?

The NPI number for Kidney Specialists, P.C. is 1477680205. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Kidney Specialists, P.C. located?

Kidney Specialists, P.C. is located at 1325 Eastmoreland Ave Suite 335, Memphis, TN 38104. The listed phone number is (901) 726-1199.

What is Kidney Specialists, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kidney Specialists, P.C. enrolled in Medicare?

Yes. Kidney Specialists, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Specialists, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Kidney Specialists, P.C., in 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kidney Specialists, P.C. was last updated on February 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.