KINSTON DIGESTIVE DISEASES PA
NPI 1548308976
Internal Medicine - Gastroenterology in Kinston, NC

Active since February 01, 2007CLIA 34D0241982 · Waiver
1100 HARDEE RD, SUITE 103B, KINSTON, NC 28504(252) 522-0285(252) 523-4474 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kinston Digestive Diseases Pa NPPES

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

KINSTON DIGESTIVE DISEASES PA (NPI 1548308976) is a healthcare organization registered as a gastroenterology in Kinston, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Richard James Kroeger, Owner, as its authorized official.

NPPES Registry Identity

NPI1548308976
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameKINSTON DIGESTIVE DISEASES PA
Location Address1100 HARDEE RD, SUITE 103BKinston, NC 28504
Mailing Address1100 Hardee Rd, Suite 103bKinston, NC 28504 · (252) 522-0285 · Fax (252) 523-4474
Fax(252) 523-4474
Organization SubpartNo
Authorized OfficialRichard James KroegerOwner · (252) 522-0285
Enumeration DateFebruary 1, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1548308976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NC · 27814
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1100 HARDEE RD, Kinston, NC 28504

Other Identifiers 3

Medicaid8950334NC
Other01983NC · Bcbs
Other50334NC · Bcbs

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0241982
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
DR. NAMAF G. ATASSI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kinston Digestive Diseases Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
1100 HARDEE RD, SUITE 103 B
KINSTON, NC 28504
Community/Behavioral Health
1100 HARDEE RD, SUITE 112 A
KINSTON, NC 28504
Case Management
1100 HARDEE RD, SUITE 103 C
KINSTON, NC 28504
Community/Behavioral Health
1100 HARDEE RD, SUITE 101
KINSTON, NC 28504
Chiropractor
1100 HARDEE RD, STE 114
KINSTON, NC 28504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548308976, enumerated as an "organization" on February 01, 2007.

The provider is located at 1100 HARDEE RD SUITE 103B KINSTON, NC 28504 and the phone number is (252) 522-0285.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.