GREENVILLE KIDNEY CENTER, PA
NPI 1609987825
Internal Medicine - Nephrology in Greenville, SC

Active since August 31, 2006CLIA Certified · 2 labs
10 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605(864) 220-1200(864) 220-1888 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greenville Kidney Center, Pa NPPES

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

GREENVILLE KIDNEY CENTER, PA (NPI 1609987825) is a healthcare organization registered as a nephrology in Greenville, South Carolina and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists William C Kendrick, President, as its authorized official.

NPPES Registry Identity

NPI1609987825
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGREENVILLE KIDNEY CENTER, PA
Location Address10 MEMORIAL MEDICAL DRGreenville, SC 29605-4450
Mailing Address10 Memorial Medical DrGreenville, SC 29605-4450 · (864) 220-1200 · Fax (864) 220-1888
Fax(864) 220-1888
Organization SubpartNo
Authorized OfficialWilliam C KendrickPresident · (864) 220-1200
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 12, 2008
NPI 1609987825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in SC · 9047
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.
10 MEMORIAL MEDICAL DR, Greenville, SC 29605

Other Identifiers 2

Medicare PIN2867SC
MedicaidPC3554SC

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 Laboratory Certificates CMS CLIA 2

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) 42D0252328

Greenville Kidney Care, LLC · Greenville, SC
Active · expires Aug 31, 2026
CLIA Number42D0252328
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Joachim Hertel
Laboratory Phone(864) 220-1200
Laboratory LocationGreenville Kidney Care, LLC29 Memorial Medical Drive, Greenville, SC 29605
CLIA data matches this NPI record on: 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0698004

Greenville Kidney Care, LLC · Clinton, SC
Active · expires Aug 31, 2026
CLIA Number42D0698004
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Joachim Hertel
Laboratory Phone(864) 220-1200
Laboratory LocationGreenville Kidney Care, LLC300 Plaza Circle Suite F, Clinton, SC 29325
CLIA data matches this NPI record on: 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 2

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

Internal Medicine (Nephrology)
10 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Internal Medicine (Nephrology)
10 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605

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 Greenville Kidney Center, PA's NPI number?

The NPI number for Greenville Kidney Center, PA is 1609987825. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Greenville Kidney Center, PA located?

Greenville Kidney Center, PA is located at 10 Memorial Medical Dr, Greenville, SC 29605. The listed phone number is (864) 220-1200.

What is Greenville Kidney Center, PA's specialty?

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

Does Greenville Kidney Center, PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Greenville Kidney Center, PA was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.