SOUTHEASTERN DIALYSIS CENTER JACKSONVILLE
NPI 1346209970
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jacksonville, NC

Active since March 22, 2006CLIA 34D0667793 · Waiver
3/5
Overall Rating
14 OFFICE PARK DR, JACKSONVILLE, NC 28546(910) 353-6888(910) 353-6839 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2023, Sep 19, 2022, Mar 11, 2021 and 1 more (4 updates tracked since 2019).

About Southeastern Dialysis Center Jacksonville NPPES

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

SOUTHEASTERN DIALYSIS CENTER JACKSONVILLE (NPI 1346209970) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jacksonville, North Carolina and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through September 1, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1346209970
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE OF NORTH CAROLINA LLC
Location Address14 OFFICE PARK DRJacksonville, NC 28546-7325
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Fax(910) 353-6839
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMarch 22, 2006
Last NPPES UpdateMay 31, 20244 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
NPI 1346209970 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
14 OFFICE PARK DR, Jacksonville, NC 28546

Other Names 1

Doing Business AsSoutheastern Dialysis Center Jacksonville

Other Identifiers 1

Medicaid3422532NC

Accepted 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 34D0667793

Southeastern Jacksonville Dialysis Center #0591 · Jacksonville, NC
Active · expires Sep 1, 2026
CLIA Number34D0667793
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorKoithara Thomas
Laboratory Phone(910) 353-6888
Laboratory LocationSoutheastern Jacksonville Dialysis Center #059114 Office Park Drive, Jacksonville, NC 28546
CLIA data matches this NPI record on: Address 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 SEDC Jacksonville Dialysis Center (CMS certification number 342532), from CMS Care Compare.

DaVita SEDC Jacksonville Dialysis Center

Dialysis facility · Jacksonville, NC
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number342532
ESRD NetworkNetwork 6
Hemodialysis Stations38
Medicare-Certified SinceMarch 1, 1988
Location14 OFFICE PARK DRIVEJacksonville, NC 28546 · Onslow County
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
60% 2/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
46% 1/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
85% 4/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
47% 1/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
27% 1/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
29% 1/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

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 1346209970. It was assigned to this organization in the NPPES registry on March 22, 2006. The provider is doing business as Southeastern Dialysis Center Jacksonville.

Where is Total Renal Care Of North Carolina LLC located?

Total Renal Care Of North Carolina LLC is located at 14 Office Park Dr, Jacksonville, NC 28546. The listed phone number is (910) 353-6888.

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 34D0667793) is associated with this NPI, valid through September 1, 2026. 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 SEDC Jacksonville Dialysis Center is a Medicare-certified dialysis facility, certified since March 1, 1988.

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

CMS rates DaVita SEDC Jacksonville Dialysis Center 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 Of North Carolina LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Oscar Health Insurance and 6 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 31, 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.