DEGRAY DIALYSIS
NPI 1184968604
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Arkadelphia, AR

Q: What is Renal Treatment Centers-Southeast, LP.'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 Renal Treatment Centers-Southeast, LP. have?

CMS rates DaVita Degray Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since November 21, 2012CLIA 04D0466009 · Waiver

3/5

Overall Rating

312 PROFESSIONAL PARK DR STE H, ARKADELPHIA, AR 71923(870) 246-3021(870) 245-3766 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2022, Nov 9, 2022, Sep 3, 2020 and 2 more (5 updates tracked since 2018).

On this page

About Degray Dialysis NPPES

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

DEGRAY DIALYSIS (NPI 1184968604) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Arkadelphia, Arkansas and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1184968604

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameRENAL TREATMENT CENTERS-SOUTHEAST, LP.

Location Address312 PROFESSIONAL PARK DR STE HArkadelphia, AR 71923-5355

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4268 · Fax (877) 238-0567

Phone(870) 246-3021

Fax(870) 245-3766

Organization SubpartNo

Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641

Enumeration DateNovember 21, 2012

Last NPPES UpdateJanuary 17, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2024

✔ NPI 1184968604 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

312 PROFESSIONAL PARK DR STE H, Arkadelphia, AR 71923

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Other Names 1

Doing Business AsDegray Dialysis

Other Identifiers 1

Medicaid201693134AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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 04D0466009

Degray Dialysis · Arkadelphia, AR

Active · expires Jun 7, 2027

CLIA Number04D0466009

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJune 8, 2025

Certificate Expiration DateJune 7, 2027

Laboratory DirectorMichael S. Gersch

Laboratory Phone(870) 246-3021

Laboratory LocationDegray Dialysis312 Professional Park Drive, Suite H, Arkadelphia, AR 71923

CLIA data matches this NPI record on: Address Name Phone

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 DaVita Degray Dialysis (CMS certification number 042512), from CMS Care Compare.

DaVita Degray Dialysis

Dialysis facility · Arkadelphia, AR

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number042512

ESRD NetworkNetwork 13

Hemodialysis Stations17

Medicare-Certified SinceSeptember 12, 1986

Location312 PROFESSIONAL PARK DR STE HArkadelphia, AR 71923 · Clark County

Phone(870) 246-3021

Services Offered

In-center hemodialysis Peritoneal dialysis

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 Renal Treatment Centers-Southeast, LP.'s NPI number?

The NPI number for Renal Treatment Centers-Southeast, LP. is 1184968604. It was assigned to this organization in the NPPES registry on November 21, 2012. The provider is doing business as Degray Dialysis.

Where is Renal Treatment Centers-Southeast, LP. located?

Renal Treatment Centers-Southeast, LP. is located at 312 Professional Park Dr Ste H, Arkadelphia, AR 71923. The listed phone number is (870) 246-3021.

What is Renal Treatment Centers-Southeast, LP.'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 Renal Treatment Centers-Southeast, LP. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0466009) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Treatment Centers-Southeast, LP. a Medicare-certified dialysis facility?

Yes. DaVita Degray Dialysis is a Medicare-certified dialysis facility, certified since September 12, 1986.

What quality rating does Renal Treatment Centers-Southeast, LP. have?

CMS rates DaVita Degray Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Renal Treatment Centers-Southeast, LP. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 8 other insurers list Renal Treatment Centers-Southeast, LP. 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 Renal Treatment Centers-Southeast, LP. was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.