NORTHSIDE DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
NPI 1114904133
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Winston Salem, NC

Q: What is Northside Dialysis Center Of Wake Forest University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Q: What quality rating does Northside Dialysis Center Of Wake Forest University have?

CMS rates Northside Dialysis Center 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since December 30, 2005CLIA 34D0989608 · Waiver

1/5

Overall Rating

500 W HANES MILL RD, WINSTON SALEM, NC 27105(336) 744-0577(336) 744-9021 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northside Dialysis Center Of Wake Forest University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSIDE DIALYSIS CENTER OF WAKE FOREST UNIVERSITY (NPI 1114904133), doing business as Northside Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Winston Salem, North Carolina and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Kimberly Agee-clark Johnson, Credentialing Coord., as its authorized official.

NPPES Registry Identity

NPI1114904133

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameNORTHSIDE DIALYSIS CENTER OF WAKE FOREST UNIVERSITY

Location Address500 W HANES MILL RDWinston Salem, NC 27105-9814

Mailing AddressPo Box 7350Tifton, GA 31793-7350 · (229) 387-3528 · Fax (229) 386-2149

Phone(336) 744-0577

Fax(336) 744-9021

Organization SubpartNo

Authorized OfficialKimberly Agee-clark JohnsonCredentialing Coord. · (229) 387-3528

Enumeration DateDecember 30, 2005

Last NPPES UpdateFebruary 9, 2026

NPPES CertifiedFebruary 9, 2026

✔ NPI 1114904133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

500 W HANES MILL RD, Winston Salem, NC 27105

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Other Names 1

Doing Business AsNorthside Dialysis Center

Other Identifiers 1

Medicaid3402612NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0989608

Northside Dialysis Center Of Wake Forest University · Winston-Salem, NC

Active · expires Jul 30, 2027

CLIA Number34D0989608

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJuly 31, 2025

Certificate Expiration DateJuly 30, 2027

Laboratory DirectorScott T. Satko

Laboratory Phone(336) 725-9855

Laboratory LocationNorthside Dialysis Center Of Wake Forest University500 West Hanes Mill Road, Winston-Salem, NC 27105

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Northside Dialysis Center (CMS certification number 342612), from CMS Care Compare.

Northside Dialysis Center

Dialysis facility · Winston Salem, NC

1/5 CMS RatingRating period January 2020 to December 2023

OwnershipNon-profit

ChainWake Forest University

CMS Certification Number342612

ESRD NetworkNetwork 6

Hemodialysis Stations45

Medicare-Certified SinceOctober 19, 2001

Location500 WEST HANES MILL ROADWinston Salem, NC 27105 · Forsyth County

Phone(336) 744-0577

Services Offered

In-center hemodialysis Peritoneal dialysis

Patient Survey Results

Nephrologists’ communication and caring

Patients who reported their kidney doctors always communicated well and cared for them as a person.

59% 2/5

Dialysis center care and operations

Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.

56% 2/5

Providing information to patients

Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.

66% 1/5

Rating of the kidney doctors

Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).

62% 3/5

Rating of the dialysis center staff

Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).

59% 2/5

Rating of the dialysis center

Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).

64% 2/5

Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northside Dialysis Center Of Wake Forest University's NPI number?

The NPI number for Northside Dialysis Center Of Wake Forest University is 1114904133. It was assigned to this organization in the NPPES registry on December 30, 2005. The provider is doing business as Northside Dialysis Center.

Where is Northside Dialysis Center Of Wake Forest University located?

Northside Dialysis Center Of Wake Forest University is located at 500 W Hanes Mill Rd, Winston Salem, NC 27105. The listed phone number is (336) 744-0577.

What is Northside Dialysis Center Of Wake Forest University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Northside Dialysis Center Of Wake Forest University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0989608) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Northside Dialysis Center Of Wake Forest University a Medicare-certified dialysis facility?

Yes. Northside Dialysis Center is a Medicare-certified dialysis facility, certified since October 19, 2001.

What quality rating does Northside Dialysis Center Of Wake Forest University have?

CMS rates Northside Dialysis Center 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Northside Dialysis Center Of Wake Forest University accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Northside Dialysis Center Of Wake Forest University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northside Dialysis Center Of Wake Forest University was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.