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SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY
NPI 1114904141
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Winston Salem, NC

Active since December 30, 2005CLIA 34D0913470 · Waiver
2/5
Overall Rating
2705 BOULDER PARK CT, WINSTON SALEM, NC 27101(336) 761-8808(336) 761-8864 Get Directions Write a Review

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

About Salem Kidney Center Of Wake Forest University NPPES

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

SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY (NPI 1114904141), doing business as Salem Kidney 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 April 1, 2028 and lists Kimberly Agee-clark Johnson, Credentialing Coord., as its authorized official.

NPPES Registry Identity

NPI1114904141
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY
Location Address2705 BOULDER PARK CTWinston Salem, NC 27101-4776
Mailing AddressPo Box 7350Tifton, GA 31793-7350 · (229) 387-3528 · Fax (229) 386-2149
Phone(336) 761-8808
Fax(336) 761-8864
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 1114904141 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
2705 BOULDER PARK CT, Winston Salem, NC 27101
Open in Google Maps ↗

Other Names 1

Doing Business AsSalem Kidney Center

Other Identifiers 1

Medicaid3402569NC

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 34D0913470

Salem Kidney Center Of Wake Forest University · Winston Salem, NC
Active · expires Apr 1, 2028
CLIA Number34D0913470
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorPirouz Daeihagh
Laboratory Phone(910) 761-8808
Laboratory LocationSalem Kidney Center Of Wake Forest University2705 Boulder Park Court, Winston Salem, NC 27101
CLIA data matches this NPI record on: Address 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 Salem Kidney Center (CMS certification number 342569), from CMS Care Compare.

Salem Kidney Center

Dialysis facility · Winston Salem, NC
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
ChainWake Forest University
CMS Certification Number342569
ESRD NetworkNetwork 6
Hemodialysis Stations39
Medicare-Certified SinceJune 13, 1994
Location2705 BOULDER PARK COURTWinston Salem, NC 27101 · Forsyth County
Phone(336) 761-8808
Services Offered
In-center hemodialysis

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
85% 5/5
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.
68% 4/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
83% 4/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
81% 5/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
64% 3/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
70% 3/5
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 Salem Kidney Center Of Wake Forest University's NPI number?

The NPI number for Salem Kidney Center Of Wake Forest University is 1114904141. It was assigned to this organization in the NPPES registry on December 30, 2005. The provider is doing business as Salem Kidney Center.

Where is Salem Kidney Center Of Wake Forest University located?

Salem Kidney Center Of Wake Forest University is located at 2705 Boulder Park Ct, Winston Salem, NC 27101. The listed phone number is (336) 761-8808.

What is Salem Kidney 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 Salem Kidney Center Of Wake Forest University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0913470) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Salem Kidney Center Of Wake Forest University a Medicare-certified dialysis facility?

Yes. Salem Kidney Center is a Medicare-certified dialysis facility, certified since June 13, 1994.

What quality rating does Salem Kidney Center Of Wake Forest University have?

CMS rates Salem Kidney Center 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Salem Kidney 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 Salem Kidney 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 Salem Kidney 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.