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

North Carolina Nephrology PA

Organization Nephrology Physician · NPI 1558865402

North Carolina Nephrology PA provides Nephrology Physician services in Fuquay Varina, North Carolina. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

916 S Main St Ste 240
Fuquay Varina, NC 27526-2420
Phone: (919) 231-3966
Fax: (919) 231-3912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1558865402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Capps — Billing Manager · (919) 231-3966
NPI enumeratedMarch 23, 2018
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address3700 Barrett Dr Ste 200, Raleigh, NC 27609-7213