Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Carolina Nephrology PA

Organization Specialist · NPI 1205801412

Central Carolina Nephrology PA provides Specialist services in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Medical Park Dr Ste 320
Concord, NC 28025-2982
Phone: (704) 786-7770
Fax: (704) 788-9351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NC)

Record details

NPI number1205801412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Halstenberg — President · (704) 786-7770
NPI enumeratedFebruary 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address200 Medical Park Dr, Ste 320, Concord, NC 28025-2982

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