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CAROLINA NEPHROLOGY PA
NPI 1659411924
Internal Medicine - Nephrology in Goldsboro, NC

Active since February 07, 2007CLIA 34D0959420 · Microscopy
1704A WAYNE MEMORIAL DRIVE, GOLDSBORO, NC 27534(919) 580-1026(919) 580-1027 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carolina Nephrology Pa NPPES

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

CAROLINA NEPHROLOGY PA (NPI 1659411924) is a healthcare organization registered as a nephrology in Goldsboro, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through July 25, 2027 and lists Robert David Kemp, President Owner, as its authorized official.

NPPES Registry Identity

NPI1659411924
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCAROLINA NEPHROLOGY PA
Location Address1704A WAYNE MEMORIAL DRIVEGoldsboro, NC 27534
Mailing Address1704a Wayne Memorial DriveGoldsboro, NC 27534 · (919) 580-1026 · Fax (919) 580-1027
Phone(919) 580-1026
Fax(919) 580-1027
Organization SubpartNo
Authorized OfficialRobert David KempPresident Owner · (919) 580-1026
Enumeration DateFebruary 7, 2007
Last NPPES UpdateFebruary 6, 2008
✔ NPI 1659411924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in NC · 0094-00540✔ Licensed in NC · 2005-00739
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.
1704A WAYNE MEMORIAL DRIVE, Goldsboro, NC 27534
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Other Identifiers 16

Other1225026289Provider Individual Npi
Other1790879997Provider Individual Npi
Medicare UPINP93442
Medicare PIN2761569B
Medicaid790294FNC
Medicare PIN2344697
Medicare PIN2041913
Other14OUTBcbs
Medicare UPINF73318
Medicaid891193ENC
Medicare PIN2198424C
Other1932293131Provider Individual Npi
Medicare UPINI33947
Other1193EBcbs
Other0294FBcbs
Medicaid5901460NC

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 MULTIPLE SINGLE 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, Ambetter of Tennessee and more.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)

Carolina Nephrology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Carolina Nephrology PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Robert Kemp, MD
Nephrology
NPI 1932293131
1704A WAYNE MEMORIAL DRIVE
Goldsboro, NC 27534
(919) 580-1026
✔ PECOS✔ Accepts MedicareSame address
Ajay Shreenath, MD
Nephrology
NPI 1790879997
1704A WAYNE MEMORIAL DRIVE
Goldsboro, NC 27534
(919) 580-1026
✔ PECOS✔ Accepts MedicareSame address
Pamela Branson, FNP-C
Nurse Practitioner
NPI 1679225130
2704 MEDICAL OFFICE PL
Goldsboro, NC 27534
(919) 736-4724
✔ PECOS✔ Accepts Medicare1.3 mi
Roopa Shah, MD
Nephrology
NPI 1619396108
1640 CAMPUS PARK DR STE C
Monroe, NC 28112
(704) 226-0366
✔ PECOS✔ Accepts Medicare147 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 for Provider-Performed Microscopy Procedures (PPMP) 34D0959420

Carolina Nephrology PA · Goldsboro, NC
Active · expires Jul 25, 2027
CLIA Number34D0959420
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorDavid Kemp MD
Laboratory Phone(919) 580-1026
Laboratory LocationCarolina Nephrology PA1704 A Wayne Memorial Drive, Goldsboro, NC 27534
CLIA data matches this NPI record on: 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.

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 Carolina Nephrology PA's NPI number?

The NPI number for Carolina Nephrology PA is 1659411924. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Carolina Nephrology PA located?

Carolina Nephrology PA is located at 1704A Wayne Memorial Drive, Goldsboro, NC 27534. The listed phone number is (919) 580-1026.

What is Carolina Nephrology PA's specialty?

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

Is Carolina Nephrology PA enrolled in Medicare?

Yes. Carolina Nephrology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Nephrology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Carolina Nephrology PA. 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. The largest specialties are Nephrology (3) and Nurse Practitioner (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Carolina Nephrology PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0959420) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolina Nephrology PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Cigna Healthcare list Carolina Nephrology PA 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 Carolina Nephrology PA was last updated on February 6, 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.