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WALLACE DIALYSIS
NPI 1396932240
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Wallace, NC

Active since September 25, 2007CLIA 34D1076075 · Waiver
2/5
Overall Rating
5650 S NC 41 HWY, WALLACE, NC 28466(910) 285-6424(910) 285-6928 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2023, Mar 17, 2023, Apr 27, 2021 and 1 more (4 updates tracked since 2019).

About Wallace Dialysis NPPES

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

WALLACE DIALYSIS (NPI 1396932240) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Wallace, North Carolina and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through November 5, 2027 and lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1396932240
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE OF NORTH CAROLINA LLC
Location Address5650 S NC 41 HWYWallace, NC 28466-6094
Mailing Address5200 Virginia WayBrentwood, TN 37027-7569 · (615) 320-4593 · Fax (800) 293-5872
Phone(910) 285-6424
Fax(910) 285-6928
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateSeptember 25, 2007
Last NPPES UpdateJune 8, 20234 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1396932240 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
5650 S NC 41 HWY, Wallace, NC 28466
Open in Google Maps ↗

Other Names 1

Doing Business AsWallace Dialysis

Other Identifiers 1

Medicaid3402659NC

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 34D1076075

Wallace Dialysis · Wallace, NC
Active · expires Nov 5, 2027
CLIA Number34D1076075
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorRobert A. Moore III MD
Laboratory Phone(910) 285-6424
Laboratory LocationWallace Dialysis5650 S Nc 41 Hwy, Wallace, NC 28466
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 Wallace Dialysis (CMS certification number 342659), from CMS Care Compare.

DaVita Wallace Dialysis

Dialysis facility · Wallace, NC
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number342659
ESRD NetworkNetwork 6
Hemodialysis Stations15
Medicare-Certified SinceNovember 30, 2007
Location5650 S NC 41 HwyWallace, NC 28466 · Duplin County
Phone(910) 285-6424
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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 1396932240. It was assigned to this organization in the NPPES registry on September 25, 2007. The provider is doing business as Wallace Dialysis.

Where is Total Renal Care Of North Carolina LLC located?

Total Renal Care Of North Carolina LLC is located at 5650 S Nc 41 Hwy, Wallace, NC 28466. The listed phone number is (910) 285-6424.

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 34D1076075) is associated with this NPI, valid through November 5, 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 Wallace Dialysis is a Medicare-certified dialysis facility, certified since November 30, 2007.

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

CMS rates DaVita Wallace Dialysis 2 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 June 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.