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 is a Nephrology Physician 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