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SHOALS KIDNEY & HTN CENTER
NPI 1780641951
Internal Medicine - Nephrology in Florence, AL

Active since April 29, 2006CLIA 01D0944031 · Accreditation
422 E DR HICKS BLVD, FLORENCE, AL 35630(256) 766-1401(256) 766-1402 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shoals Kidney & Htn Center NPPES

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

SHOALS KIDNEY & HTN CENTER (NPI 1780641951) is a healthcare organization registered as a nephrology in Florence, Alabama and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through September 6, 2026 and lists Narasimha Rao Boorgu, President, as its authorized official.

NPPES Registry Identity

NPI1780641951
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameN RAO BOORGU MD PC
Location Address422 E DR HICKS BLVDFlorence, AL 35630-5763
Mailing Address422 E Dr Hicks Blvd Ste AFlorence, AL 35630-5730 · (256) 766-1401 · Fax (256) 766-1402
Phone(256) 766-1401
Fax(256) 766-1402
Organization SubpartNo
Authorized OfficialNarasimha Rao BoorguPresident · (256) 766-1401
Enumeration DateApril 29, 2006
Last NPPES UpdateMay 29, 2019
✔ NPI 1780641951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in AL · 20061173✔ Licensed in AL · 20061174✔ Licensed in AL · 20061172
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X
422 E DR HICKS BLVD, Florence, AL 35630
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Other Names 1

Doing Business AsShoals Kidney & Htn Center

Other Identifiers 18

Medicaid0000500688AL
Medicaid000060570AL
Medicaid0118607MS
Other500011241SC · Medicare Railroad/palmetto Gba - Individual
Medicaid000076742AL
Medicaid102I397202AL
Medicaid529400760AL
Other110208939SC · Medicare Railroad/palmetto Gba - Individual
Medicaid000000582AL
Medicaid000026605AL
Medicaid00012106MS
Medicaid102I500688AL
OtherCC6102SC · Medicare Railroad/palmetto Gba - Group
Medicaid000037272AL
Medicaid00122786MS
Other110131573SC · Medicare Railroad/palmetto Gba - Individual
Medicaid05930201MS
Other110126478SC · Medicare Railroad/palmetto Gba - Individual

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 of Accreditation 01D0944031

Shoals Kidney & Hypertension · Florence, AL
Active · expires Sep 6, 2026
CLIA Number01D0944031
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorRajesh Boorgu
Laboratory Phone(256) 766-1401
Laboratory LocationShoals Kidney & Hypertension422 East Dr Hicks Blvd, Florence, AL 35630
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

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

DR. RAJESH BOORGU M.D.
Internal Medicine (Nephrology)
422 E DR HICKS BLVD
FLORENCE, AL 35630
Lauderdale County (256) 766-1401
DR. NARASIMHA RAO BOORGU M.D.
Internal Medicine (Nephrology)
422 E DR HICKS BLVD
FLORENCE, AL 35630
Lauderdale County (256) 766-1401
MRS. JAMIE NICHOLE COCKRELL CRNP
Clinical Nurse Specialist (Acute Care)
422 E DR HICKS BLVD, SUITE A
FLORENCE, AL 35630
Lauderdale County (256) 766-1401
DR. SUBIR K PAUL M.D.
Internal Medicine (Nephrology)
422 E DR HICKS BLVD
FLORENCE, AL 35630
Lauderdale County (256) 766-1401
DR. DWIGHT M MATTHEW M.D.
Internal Medicine (Nephrology)
422 E DR HICKS BLVD, STE A
FLORENCE, AL 35630
Lauderdale County (256) 766-1401

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 N Rao Boorgu MD PC's NPI number?

The NPI number for N Rao Boorgu MD PC is 1780641951. It was assigned to this organization in the NPPES registry on April 29, 2006. The provider is doing business as Shoals Kidney & Htn Center.

Where is N Rao Boorgu MD PC located?

N Rao Boorgu MD PC is located at 422 E Dr Hicks Blvd, Florence, AL 35630. The listed phone number is (256) 766-1401.

What is N Rao Boorgu MD PC's specialty?

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

Does N Rao Boorgu MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D0944031) is associated with this NPI, valid through September 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for N Rao Boorgu MD PC was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.