KELLY HEEGARD, M.D. — NPI 1538397807 (Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist) in GREENVILLE, SC)

CMS-1500 Box 24J / 33a • NPI

1538397807

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RN0300X (CMS 11)

Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)

Box 32 Service Location & ZIP+4

203 MILLS AVE, GREENVILLE, SC, 29605-4019

✓ 9-Digit EDI 837 ZIP+4 (29605-4019)

Practice Phone & Referral Fax

(864) 271-1844

Fax: (864) 271-2147

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1538397807 (KELLY HEEGARD, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1538397807` (NPI-1 Individual Practitioner)
Provider / Legal Name	KELLY HEEGARD, M.D.
Plain-English Specialty	Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist) NUCC Code: `207RN0300X` (Internal Medicine, Nephrology)
Certifying / Licensing Body	American Board of Internal Medicine — Nephrology
Practice Location Address	203 MILLS AVE, GREENVILLE, SC, 29605-4019
Practice Telephone / Fax	Tel: (864) 271-1844 \| Fax: (864) 271-2147
Administrative Mailing Address	203 MILLS AVE, GREENVILLE, SC, 29605-4019
Enumeration & Last Sync	Enumerated: 2009-06-25 \| CMS Record Updated: 2019-04-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

203 MILLS AVE, GREENVILLE, SC, 29605-4019

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Plain-English Taxonomy & CMS Crosswalk (207RN0300X)

What Does Taxonomy Code 207RN0300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RN0300X translates to:
"Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 39 (Physician/Nephrology)
Certifying / Accrediting Authority: American Board of Internal Medicine — Nephrology
Clinical Scope: Declining kidney function (high creatinine / low eGFR), protein or blood in urine, recurrent kidney stones, electrolyte imbalances, or severe hypertension.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KELLY HEEGARD, M.D.)

Typical CPT / Diagnostic Procedures:

Chronic Kidney Disease (eGFR & Albuminuria) Staging & Renoprotective Planning
24-Hour Urine Metabolic Evaluation for Recurrent Kidney Stones
Outpatient Hemodialysis & Peritoneal Dialysis Oversight (CPT 90960)
Renal Biopsy Evaluation & Secondary Hypertension Workup

Common Therapeutic Classes:

SGLT2 Inhibitors (Dapagliflozin, Empagliflozin) & Finerenone for CKD
ACE Inhibitors / ARBs for Proteinuria Reduction
Potassium Citrate & Thiazide Diuretics (Kidney Stone Prevention)
Erythropoiesis-Stimulating Agents & Phosphate Binders

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RN0300X` — Internal Medicine, Nephrology Plain English: Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)	State: SC \| License: `52383` \| Primary: Yes (Primary)
`207RN0300X` — Internal Medicine, Nephrology Plain English: Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)	State: FL \| License: `ME131121` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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KELLY HEEGARD, M.D. (NPI #1538397807)