FAYETTEVILLE ROAD DIALYSIS
NPI 1255844130
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Raeford, NC

Q: What is Total Renal Care Of North Carolina, LLC'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 Total Renal Care Of North Carolina, LLC have?

CMS rates DaVita Fayetteville Road Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since November 14, 2017CLIA 34D2140966 · Waiver

4/5

Overall Rating

285 PARACLETE DR, RAEFORD, NC 28376(910) 878-0052(910) 875-2902 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, Aug 3, 2020, May 30, 2019 and 2 more (5 updates tracked since 2017).

On this page

About Fayetteville Road Dialysis NPPES

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

FAYETTEVILLE ROAD DIALYSIS (NPI 1255844130) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Raeford, North Carolina and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1255844130

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameTOTAL RENAL CARE OF NORTH CAROLINA, LLC

Location Address285 PARACLETE DRRaeford, NC 28376-9493

Mailing Address5200 Virginia Way, Att: L&c DepartmentBrentwood, TN 37027-7569

Phone(910) 878-0052

Fax(910) 875-2902

Organization SubpartNo

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

Enumeration DateNovember 14, 2017

Last NPPES UpdateMay 23, 20245 updates tracked since enumeration

NPPES CertifiedMay 23, 2024

✔ NPI 1255844130 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

285 PARACLETE DR, Raeford, NC 28376

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Other Names 1

Doing Business AsFayetteville Road Dialysis

Other Identifiers 1

Medicaid125584130NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 34D2140966

Fayetteville Road Dialysis · Raeford, NC

Active · expires Dec 4, 2027

CLIA Number34D2140966

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateDecember 5, 2025

Certificate Expiration DateDecember 4, 2027

Laboratory DirectorHanna V. Hardenberg

Laboratory Phone(910) 878-0052

Laboratory LocationFayetteville Road Dialysis285 Paraclete Drive, Raeford, NC 28376

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 Fayetteville Road Dialysis (CMS certification number 342727), from CMS Care Compare.

DaVita Fayetteville Road Dialysis

Dialysis facility · Raeford, NC

4/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number342727

ESRD NetworkNetwork 6

Hemodialysis Stations19

Medicare-Certified SinceJune 4, 2018

Location285 Paraclete DrRaeford, NC 28376 · Hoke County

Phone(910) 878-0052

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 Of North Carolina, LLC's NPI number?

The NPI number for Total Renal Care Of North Carolina, LLC is 1255844130. It was assigned to this organization in the NPPES registry on November 14, 2017. The provider is doing business as Fayetteville Road Dialysis.

Where is Total Renal Care Of North Carolina, LLC located?

Total Renal Care Of North Carolina, LLC is located at 285 Paraclete Dr, Raeford, NC 28376. The listed phone number is (910) 878-0052.

What is Total Renal Care Of North Carolina, LLC'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 Of North Carolina, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2140966) is associated with this NPI, valid through December 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Of North Carolina, LLC a Medicare-certified dialysis facility?

Yes. DaVita Fayetteville Road Dialysis is a Medicare-certified dialysis facility, certified since June 4, 2018.

What quality rating does Total Renal Care Of North Carolina, LLC have?

CMS rates DaVita Fayetteville Road Dialysis 4 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 Of North Carolina, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 7 other insurers list Total Renal Care Of North Carolina, LLC 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 Of North Carolina, LLC was last updated on May 23, 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.