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DIALYSIS ACCESS GROUP OF WAKE FOREST UNIVERSITY, LLC
NPI 1144279001
Internal Medicine - Nephrology in Winston Salem, NC

Active since May 09, 2006
120 MILLER STREET, WINSTON SALEM, NC 27103(336) 723-1080(336) 722-3040 Get Directions Write a Review

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

About Dialysis Access Group Of Wake Forest University, Llc NPPES

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

DIALYSIS ACCESS GROUP OF WAKE FOREST UNIVERSITY, LLC (NPI 1144279001), doing business as Dialysis Access Group, is a healthcare organization registered as a nephrology in Winston Salem, North Carolina and active in the NPI registry since May 2006. The organization lists Kimberly Agee-clark Johnson, Credentialing Coord., as its authorized official.

NPPES Registry Identity

NPI1144279001
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameDIALYSIS ACCESS GROUP OF WAKE FOREST UNIVERSITY, LLC
Location Address120 MILLER STREETWinston Salem, NC 27103-2500
Mailing AddressPo Box 7350Tifton, GA 31793-7350 · (229) 387-3528 · Fax (229) 386-2149
Phone(336) 723-1080
Fax(336) 722-3040
Organization SubpartNo
Authorized OfficialKimberly Agee-clark JohnsonCredentialing Coord. · (229) 387-3528
Enumeration DateMay 9, 2006
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1144279001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
120 MILLER STREET, Winston Salem, NC 27103
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Other Names 1

Doing Business AsDialysis Access Group

Other Identifiers 3

Medicaid5916155NC
Medicaid1144279001VA
Medicaid5905783NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dialysis Access Group Of Wake Forest University, LLC's NPI number?

The NPI number for Dialysis Access Group Of Wake Forest University, LLC is 1144279001. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Dialysis Access Group.

Where is Dialysis Access Group Of Wake Forest University, LLC located?

Dialysis Access Group Of Wake Forest University, LLC is located at 120 Miller Street, Winston Salem, NC 27103. The listed phone number is (336) 723-1080.

What is Dialysis Access Group Of Wake Forest University, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Dialysis Access Group Of Wake Forest University, LLC 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.