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: August 02, 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
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

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

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Gerontology)
29 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Internal Medicine (Nephrology)
29 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Internal Medicine (Nephrology)
29 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 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.

What insurance does Greenville Kidney Care LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Greenville Kidney Care LLC 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 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 20 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.