Eastern Nephrology Associates

What Eastern Nephrology Associates does

Eastern Nephrology Associates (ENA) is a private, physician-owned nephrology practice headquartered in Greenville, North Carolina, providing comprehensive kidney care across eastern North Carolina and northeastern South Carolina. Founded in 1975 and expanded through the June 2019 merger with Southeastern Nephrology Associates, ENA operates 14 office locations, 46 dialysis centers, two in-house state-of-the-art laboratories with same-day results, and two vascular access centers in partnership with Azura Vascular Care. Its clinical portfolio spans Chronic Kidney Disease (CKD) management, End Stage Kidney Disease (ESKD) treatment including hemodialysis, peritoneal dialysis, and home hemodialysis, kidney transplantation (coordinating 60+ transplants per year and following 700+ transplant recipients), vascular access surgery, hypertension management, and a nationally recognized clinical research program active since 2004.

The practice is staffed by 27 physician partners, 4 associate physicians, and 14 advanced practitioners (including general, interventional, and transplant nephrologists), supported by nurses, lab technicians, and medical assistants. Underlying technology includes an integrated Telemedicine platform for remote consultations, the MyChart (AcumenMD) patient portal for records and billing access, and the proprietary Total Kidney Care (TKC) clinical program that coordinates multidisciplinary teams using evidence-based protocols and predictive analytics to slow CKD progression. The clinical research infrastructure across six office locations has earned Frenova F1rst Up designation in 2024 for superior study execution.

ENA generates revenue primarily through fee-for-service professional billing for office visits, dialysis supervision, vascular access procedures, transplant care, and laboratory services, with payments received predominantly from Medicare (covering ESKD and transplant services) and commercial insurers. Patient acquisition relies on a referral network from primary care physicians and specialists, supported by documented referral criteria for kidney disease indicators, supplemented by direct patient access, telemedicine visits, and community education resources. Leadership includes Co-Presidents John Herion MD and Nauman Shahid MD, CEO David Fisher (MBA), CFO Suzanne Averill (CPA, MHA), and VP of Clinical Operations Brandon Hastings (DNP).

Name

Eastern Nephrology Associates

Legal name

Eastern Nephrology Associates

Website

https://easternnephrology.com

Company type

Private

Founded year

1975

Operating status

Operating

Headcount range

11–50 employees

Short description

Eastern Nephrology Associates is a private physician-owned nephrology practice serving eastern North Carolina and northeastern South Carolina, providing comprehensive kidney care including CKD management, dialysis, transplantation, vascular access, and clinical research across 14 offices and 46 dialysis centers.

Ownership category

akta.pro rank

Product category

Nephrology and Kidney Care Services

NAICS

Kidney Dialysis Centers (621492), Offices of Physicians (62111), Ambulatory Health Care Services (621)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

General Nephrology Practice (HLAKAHAA)

akta.pro secondary industries

Dialysis Services (Hemodialysis & Peritoneal Dialysis) (HLAKAHAC), Home Dialysis Support & Training Providers (HLAFAEAG), Outpatient Dialysis & Kidney Care Centers (HLAFABAE)

Keywords

• Nephrology services
• Dialysis treatment
• Kidney transplantation
• Chronic kidney disease
• Vascular access care

Headquarters

HQ city

Greenville

HQ country

United States

HQ region

North America

Offices16 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D

Revenue model

1. Clinical Patient Care Services: Fee-for-service healthcare revenue generated from comprehensive nephrology services including office visits, dialysis treatments, vascular access procedures, transplant care, and laboratory services. Revenue is primarily received through insurance reimbursements including Medicare for ESKD patients.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Eastern Nephrology Associates is a physician-owned nephrology practice that diagnoses and manages kidney disease across the full continuum of care, from chronic kidney disease and hypertension through dialysis, vascular access procedures, and kidney transplantation. The practice delivers these services through 14 outpatient offices, 46 dialysis centers, two vascular access centers, two in-house laboratories, a transplant program with medical director oversight at Vidant Health, and a nationally recognized clinical research program. ENA also supports remote consultations via telemedicine and an integrated patient portal.

Product overview

Eastern Nephrology Associates is a nephrology practice offering a unified suite of kidney care services, not a software platform. The portfolio includes Total Kidney Care (TKC) as the core clinical program coordinating multidisciplinary teams; Chronic Kidney Disease Management and Hypertension Management as primary medical services; Dialysis Services with 46 dialysis centers offering hemodialysis, peritoneal dialysis, and home hemodialysis; Kidney Transplantation with living donor programs; two Vascular Access Centers; in-house Laboratory Services; a Nationally Recognized Clinical Research Program; and Telemedicine for remote consultations. The practice also provides patients access to the MyChart patient portal for health records and billing management. Services are delivered through 14 offices, 46 dialysis centers, and two vascular access centers across eastern North Carolina and northeastern South Carolina.

Differentiator

Problem solved

Functional benefit

Products and services

• Total Kidney Care (TKC) Program Clinical care program that coordinates multidisciplinary nephrology teams (physicians, advanced practitioners, nurses, medical assistants) to manage patients across every stage of kidney disease using evidence-based best practices and predictive analytics.
• Chronic Kidney Disease Management Medical management of CKD including early detection, GFR and creatinine testing, multidisciplinary nephrology teams, and a focus on halting or slowing progression toward End Stage Kidney Disease.
• Dialysis Services Kidney replacement therapy delivered through 46 dialysis centers offering hemodialysis, peritoneal dialysis, and home hemodialysis treatments for ESKD patients across eastern North Carolina and northeastern South Carolina.
• Kidney Transplantation Comprehensive transplant program with four transplant nephrologists, living donor program, medical director oversight of Vidant Health's transplant program, and partnerships with Duke, UNC, and MUSC, coordinating 60+ kidney transplants per year and follow-up care for over 700 transplant recipients.
• Vascular Access Centers Two state-of-the-art vascular access centers in Greenville and New Bern, NC performing 5,000 cases annually of AVF and AVG procedures for hemodialysis patients at roughly half the cost of equivalent hospital care.
• In-House Laboratory Services Two in-house state-of-the-art laboratories providing same-day results with draw stations at ten ENA offices, staffed by kidney-care-focused personnel for faster diagnosis and seamless patient care.
• Clinical Research Program Nationally recognized clinical research program offering patients access to cutting-edge medications, treatments, and devices through trials in kidney health, hypertension, and diabetes; active since 2004 and selected as a Frenova F1rst Up research site.
• Telemedicine Live online video consultations with ENA providers allowing patients to discuss symptoms, develop treatment plans, and address next steps from home at the same cost as office visits under most insurance plans.
• MyChart Patient Portal Secure online portal enabling patients to access health records, track progress, message providers, view same-day lab results, and manage billing through AcumenMD's MyChart platform.

Quantifiable outcome

• 50 years of kidney care excellence with continuous growth and expansion
• +5 more outcomes

Named customers3 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature5 records

Partnerships

Six partnerships are on record, tiered core and major.

• Vidant HealthcoreStrategic or Co-development PartnerENA's transplant nephrologist serves as medical director of Vidant Health's kidney transplant program. This is the primary transplant program for the region with ENA coordinating 60+ transplants per year through this partnership.
• Duke University Health SystemmajorStrategic or Co-development PartnerRegional transplant program partnership. ENA works with Duke for kidney transplant coordination and patient care when specialized services are needed.
• UNC Health CaremajorStrategic or Co-development PartnerRegional transplant program partnership. ENA coordinates with UNC for transplant services and patient referrals.
• MUSC (Medical University of South Carolina)majorStrategic or Co-development PartnerRegional transplant program partnership. ENA works with MUSC for transplant coordination in the South Carolina region.
• Azura Vascular CarecoreStrategic or Co-development PartnerNational partnership for vascular access center operations. ENA is partnered with Azura Vascular for their two vascular access centers located in Greenville and New Bern, North Carolina. These centers perform 5,000 cases annually.
• FrenovamajorStrategic or Co-development PartnerSelected as a Frenova F1rst Up research site recognizing ENA's elite track record of superior study execution in clinical research trials.

Scale indicators11 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Renal Physician Associates: Regional multi-site nephrology practice providing comprehensive kidney care including dialysis, transplant coordination, and clinical research. Comparable to ENA in integrated physician-led nephrology services.
• Nephrology Associates of Northern Illinois and Indiana (NANI): One of the largest nephrology groups in the U.S., serving the greater Chicago area and northwest Indiana. Highly comparable to ENA as a multi-specialty nephrology practice covering CKD, dialysis, transplant, and vascular access.
• U.S. Renal Care: PE-backed operator of outpatient dialysis centers and home dialysis programs across 30+ states. Directly comparable to ENA's nephrology-led, multi-site dialysis model, with similar referral-driven growth and value-based care orientation.
• Innovative Renal Care (formerly American Renal Associates): Operates a network of outpatient dialysis centers with strong clinical research participation. Closely comparable to ENA's regional nephrology-led, multi-center model with emphasis on clinical trials.
• Balboa Nephrology Medical Group: Large California-based nephrology physician group providing comprehensive kidney care including dialysis, transplant, and vascular access. Comparable to ENA in physician-owned, multi-site, full-service nephrology care model.
• Dialysis Clinic, Inc. (DCI): Non-profit dialysis provider operating hundreds of outpatient clinics nationwide. Comparable to ENA in integrated kidney care delivery and research participation, though operating at a larger geographic scale.
• Satellite Healthcare: Non-profit provider of dialysis and kidney disease services with in-center, home, and self-care options. Comparable in mission orientation and patient-centered care model, with similar integrated service portfolio.

Broad incumbents

• DaVita Kidney Care: One of the largest U.S. providers of kidney care and dialysis services, operating more than 2,600 outpatient centers. Comparable to ENA in core dialysis and chronic kidney disease management but with national reach and significantly greater scale.
• Fresenius Medical Care: Global leader in dialysis services and products, operating thousands of dialysis centers in the U.S. Directly comparable to ENA's 46-center dialysis footprint but at vastly greater scale, with integrated renal pharmaceuticals and devices.

Emerging players

• Azura Vascular Care: National operator of vascular access centers serving dialysis patients. ENA's JV partner in Vascular Care of Greenville and New Bern, performing 5,000 cases annually — directly comparable in vascular access service line.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/ENAGreenville

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Eastern Nephrology Associates