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GREENVILLE KIDNEY CARE LLC
NPI 1659654002
Internal Medicine - Nephrology in Greenville, SC

Active since September 22, 2011
29 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605(864) 220-1200(864) 220-1888 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2024, Jan 20, 2017 (2 updates tracked since 2017).

About Greenville Kidney Care Llc NPPES

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

GREENVILLE KIDNEY CARE LLC (NPI 1659654002) is a healthcare organization registered as a nephrology in Greenville, South Carolina and active in the NPI registry since September 2011. The organization maintains a secondary practice location in Clinton and lists Hannah Cooley, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1659654002
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGREENVILLE KIDNEY CARE LLC
Location Address29 MEMORIAL MEDICAL DRGreenville, SC 29605-4407
Mailing Address29 Memorial Medical DrGreenville, SC 29605-4407 · (864) 220-1200 · Fax (864) 220-1888
Phone(864) 220-1200
Fax(864) 220-1888
Organization SubpartNo
Authorized OfficialHannah CooleyOffice Administrator · (864) 312-3105
Enumeration DateSeptember 22, 2011
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1659654002 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 · 23113
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.
29 MEMORIAL MEDICAL DR, Greenville, SC 29605
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Secondary Practice Location 1

Location 1300 Plaza Cir Ste FClinton, SC 29325-7557 · Phone (864) 220-1200 · Fax (864) 220-1888

Other Identifiers 1

MedicaidGP5803SC

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)

Greenville Kidney Care Llc 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 Greenville Kidney Care LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Joachim Hertel, MD
Nephrology
NPI 1538146303
29 MEMORIAL MEDICAL DR
Greenville, SC 29605
(864) 220-1200
✔ PECOS✔ Accepts MedicareSame address
Lucinda Smith, NP
Nurse Practitioner
NPI 1487124616
29 MEMORIAL MEDICAL DR
Greenville, SC 29605
(864) 220-1200
✔ PECOS✔ Accepts MedicareSame address
Robert Weiss, D.O.
Nephrology
NPI 1891711891
29 MEMORIAL MEDICAL DR
Greenville, SC 29605
(864) 220-1200
✔ PECOS✔ Accepts MedicareSame address
Christina Starnes, NP-C
Nurse Practitioner
NPI 1700373412
308 MILLS AVE
Greenville, SC 29605
(864) 271-3700
✔ PECOS1.3 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 Greenville Kidney Care LLC's NPI number?

The NPI number for Greenville Kidney Care LLC is 1659654002. It was assigned to this organization in the NPPES registry on September 22, 2011.

Where is Greenville Kidney Care LLC located?

Greenville Kidney Care LLC is located at 29 Memorial Medical Dr, Greenville, SC 29605. The listed phone number is (864) 220-1200.

What is Greenville Kidney Care LLC's specialty?

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

Is Greenville Kidney Care LLC enrolled in Medicare?

Yes. Greenville Kidney Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greenville Kidney Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Greenville Kidney Care LLC, 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Greenville Kidney Care LLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.