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DVA RENAL HEALTHCARE INC
NPI 1205895976
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mount Olive, NC

Active since March 21, 2006
1/5
Overall Rating
105 MICHAEL MARTIN RD, MOUNT OLIVE, NC 28365(919) 658-0878(919) 658-0873 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2025, Aug 12, 2024, Jun 5, 2024 and 3 more (6 updates tracked since 2019).

About Dva Renal Healthcare Inc NPPES

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

DVA RENAL HEALTHCARE INC (NPI 1205895976), doing business as Mt Olive Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mount Olive, North Carolina and active in the NPI registry since March 2006. The organization lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1205895976
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address105 MICHAEL MARTIN RDMount Olive, NC 28365-1112
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(919) 658-0878
Fax(919) 658-0873
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMarch 21, 2006
Last NPPES UpdateSeptember 19, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1205895976 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
105 MICHAEL MARTIN RD, Mount Olive, NC 28365
Open in Google Maps ↗

Other Names 1

Doing Business AsMt Olive Dialysis

Other Identifiers 1

Medicaid3412573NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dva Renal Healthcare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20030508000048Part A · End-Stage Renal Disease Facility (ESRD)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Mt Olive Dialysis (CMS certification number 342573), from CMS Care Compare.

DaVita Mt Olive Dialysis

Dialysis facility · Mount Olive, NC
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number342573
ESRD NetworkNetwork 6
Hemodialysis Stations15
Medicare-Certified SinceOctober 5, 1994
Location105 MICHAEL MARTIN ROADMount Olive, NC 28365 · Wayne County
Phone(919) 658-0878
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 DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1205895976. It was assigned to this organization in the NPPES registry on March 21, 2006. The provider is doing business as Mt Olive Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 105 Michael Martin Rd, Mount Olive, NC 28365. The listed phone number is (919) 658-0878.

What is DVA Renal Healthcare 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.

Is DVA Renal Healthcare Inc enrolled in Medicare?

Yes. DVA Renal Healthcare Inc is registered in the Medicare PECOS enrollment system.

When is DVA Renal Healthcare Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (North Carolina, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Is DVA Renal Healthcare Inc a Medicare-certified dialysis facility?

Yes. DaVita Mt Olive Dialysis is a Medicare-certified dialysis facility, certified since October 5, 1994.

What quality rating does DVA Renal Healthcare Inc have?

CMS rates DaVita Mt Olive Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Renal Healthcare Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 10 other insurers list DVA Renal Healthcare 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 DVA Renal Healthcare Inc was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.