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: July 19, 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
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

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

The NPI number assigned to this healthcare provider is 1144279001, enumerated as an "organization" on May 09, 2006.

The provider is located at 120 MILLER STREET WINSTON SALEM, NC 27103 and the phone number is (336) 723-1080.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.