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Export Provider Record NPI 1083664189
Metrolina Nephrology Associates, Pa
Organization Subpart: NO
Active
NPI Number1083664189
NPI TypeNPI-2 Organization
SpecialtyInternal Medicine, Nephrology
Provider Details
NPI1083664189
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-05-11
Last Updated2022-06-20
Authorized OfficialGeorge Hart
President/Physician
Phone: 7043320396
Mailing Address3158 Freedom Drive, Ste 3102
Charlotte, NC 28208-3106
United States
Phone: (704) 332-0396 | Fax: (704) 971-0035
📍 View Map
Primary Practice Address3158 Freedom Drive, Ste 3101
Charlotte, NC 28208
United States
Phone: (704) 348-2992 | Fax: (704) 334-3061
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNC7902155
MEDICAIDSCN02155
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RN0300X – Internal Medicine, NephrologyNC39934 registration #
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About NPI 1083664189

Metrolina Nephrology Associates, Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1083664189. The primary specialty listed is Internal Medicine, Nephrology. The organization is located in Charlotte, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1083664189?

NPI 1083664189 belongs to Metrolina Nephrology Associates, Pa, a Internal Medicine, Nephrology in Charlotte, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1083664189 active?

The current status of NPI 1083664189 in the NPPES registry is Active. The record was last updated on 2022-06-20.

What specialty is NPI 1083664189?

NPI 1083664189 is classified under the taxonomy Internal Medicine, Nephrology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1083664189?

You can verify NPI 1083664189 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1083664189?

The primary practice address on file for NPI 1083664189 is 3158 Freedom Drive, Charlotte, NC 28208. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1083664189 issued?

NPI 1083664189 was first issued (enumerated) on 2006-05-11. The NPPES record was last updated on 2022-06-20.

Practice Location Map

Metrolina Nephrology Associates, Pa is located at 3158 Freedom Drive, Charlotte, NC. Use the map below to find directions or verify the practice location.

📍 3158 Freedom Drive, Charlotte, NC 28208  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Metrolina Nephrology Associates, Pa. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1083664189. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, Nephrology39934 registration #NC
Data Verified from CMS NPPES Last synced: 2026-06-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162