1. Home
  2. Directory
  3. Tennessee
  4. Etowah
  5. Clinic Center
  6. NPI Profile

ETOWAH DIALYSIS
NPI 1184998270
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Etowah, TN

Active since March 07, 2012CLIA 44D1058954 · Waiver
3/5
Overall Rating
109 GRADY RD, ETOWAH, TN 37331(423) 263-3666(423) 263-3758 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2024, Feb 15, 2021, Jun 20, 2019 and 1 more (4 updates tracked since 2015).

About Etowah Dialysis NPPES

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

ETOWAH DIALYSIS (NPI 1184998270) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Etowah, Tennessee and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through September 18, 2026 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1184998270
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address109 GRADY RDEtowah, TN 37331-1903
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(423) 263-3666
Fax(423) 263-3758
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMarch 7, 2012
Last NPPES UpdateNovember 7, 20244 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1184998270 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
109 GRADY RD, Etowah, TN 37331
Open in Google Maps ↗

Other Names 1

Doing Business AsEtowah Dialysis

Other Identifiers 1

Medicaid0442715TN

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 Magnolia Health 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 44D1058954

Total Renal Care Inc Dba Etowah Dialysis · Etowah, TN
Active · expires Sep 18, 2026
CLIA Number44D1058954
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 19, 2024
Certificate Expiration DateSeptember 18, 2026
Laboratory DirectorGhazali Khan, MD
Laboratory Phone(423) 263-3666
Laboratory LocationTotal Renal Care Inc Dba Etowah Dialysis109 Grady Rd, Etowah, TN 37331
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 Etowah Dialysis (CMS certification number 442715), from CMS Care Compare.

DaVita Etowah Dialysis

Dialysis facility · Etowah, TN
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number442715
ESRD NetworkNetwork 8
Hemodialysis Stations16
Medicare-Certified SinceNovember 20, 1992
Location109 GRADY RDEtowah, TN 37331 · McMinn County
Phone(423) 263-3666
Services Offered
In-center hemodialysis

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 Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1184998270. It was assigned to this organization in the NPPES registry on March 7, 2012. The provider is doing business as Etowah Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 109 Grady Rd, Etowah, TN 37331. The listed phone number is (423) 263-3666.

What is Total Renal Care Inc'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 Total Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1058954) is associated with this NPI, valid through September 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Etowah Dialysis is a Medicare-certified dialysis facility, certified since November 20, 1992.

What quality rating does Total Renal Care Inc have?

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

What insurance does Total Renal Care Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Total Renal Care Inc 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 Total Renal Care Inc was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.