NEPHROLOGY ASSOCIATES OF SPARTANBURG LLC NPI 1437108461

NPI Information

NPI: 1437108461
Provider Name: NEPHROLOGY ASSOCIATES OF SPARTANBURG, LLC

Doing Business As: SPARTANBURG NEPHROLOGY ASSOCIATES

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
322 N PINE ST
SPARTANBURG, SC
ZIP 29302
Phone: (864) 582-5099
Get Directions

NEPHROLOGY ASSOCIATES OF SPARTANBURG, LLC is a nephrology internal medicine in Spartanburg, SC. The provider is 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. NEPHROLOGY ASSOCIATES OF SPARTANBURG, LLC NPI is 1437108461. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spartanburg Nephrology Associates.

The provider's business location address is:

322 N PINE ST
SPARTANBURG, SC
ZIP 29302-631
Phone: (864) 582-5099
Fax: (864) 327-1098

The provider's authorized official is Donna R Lancaster .
The authorized official title is Practice Manager and has the following contact phone number (864) 582-5099.

The CLIA number assigned to this NPI record is 42D0866103 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/8/2006 and was last updated on 6/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health			No
2	207RN0300X	Internal Medicine	Nephrology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5907795	MEDICAID	NORTH CAROLINA
2	DE7625	OTHER	SOUTH CAROLINA	RAIL ROAD MEDICARE GRP#
3	5903663	MEDICAID	NORTH CAROLINA
4	GP4718	MEDICAID	SOUTH CAROLINA
5	GP4404	MEDICAID	SOUTH CAROLINA
6	20053685	OTHER	SOUTH CAROLINA	SELECT HEALTH
7	8516	OTHER	SOUTH CAROLINA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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