MILLER STREET DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
NPI 1407000540
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Winston Salem, NC

Q: What is Miller Street Dialysis Center Of Wake Forest University'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 Miller Street Dialysis Center Of Wake Forest University have?

CMS rates Miller Street Dialysis Center 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since November 14, 2008CLIA 34D1092234 · Waiver

1/5

Overall Rating

120 MILLER ST, WINSTON SALEM, NC 27103(336) 721-4801(336) 721-4861 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miller Street Dialysis Center Of Wake Forest University NPPES

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

MILLER STREET DIALYSIS CENTER OF WAKE FOREST UNIVERSITY (NPI 1407000540), doing business as Miller Street Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Winston Salem, North Carolina and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through November 19, 2026 and lists Kimberly Agee-clark Johnson, Credentialing Coord., as its authorized official.

NPPES Registry Identity

NPI1407000540

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameMILLER STREET DIALYSIS CENTER OF WAKE FOREST UNIVERSITY

Location Address120 MILLER STWinston Salem, NC 27103-2509

Mailing AddressPo Box 7350Tifton, GA 31793-7350 · (229) 387-3528 · Fax (229) 386-2149

Phone(336) 721-4801

Fax(336) 721-4861

Organization SubpartNo

Authorized OfficialKimberly Agee-clark JohnsonCredentialing Coord. · (229) 387-3528

Enumeration DateNovember 14, 2008

Last NPPES UpdateFebruary 9, 2026

NPPES CertifiedFebruary 9, 2026

✔ NPI 1407000540 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

120 MILLER ST, Winston Salem, NC 27103

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Other Names 1

Doing Business AsMiller Street Dialysis Center

Other Identifiers 1

Medicaid3402667NC

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 34D1092234

Miller Street Dialysis Center Of Wake Forest University · Winston-Salem, NC

Active · expires Nov 19, 2026

CLIA Number34D1092234

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateNovember 20, 2024

Certificate Expiration DateNovember 19, 2026

Laboratory DirectorShahriar M. Moossavi

Laboratory Phone(336) 724-0468

Laboratory LocationMiller Street Dialysis Center Of Wake Forest University120 Miller Street, Winston-Salem, NC 27103

CLIA data matches this NPI record on: Name

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 Miller Street Dialysis Center (CMS certification number 342667), from CMS Care Compare.

Miller Street Dialysis Center

Dialysis facility · Winston Salem, NC

1/5 CMS RatingRating period January 2020 to December 2023

OwnershipNon-profit

ChainWake Forest University

CMS Certification Number342667

ESRD NetworkNetwork 6

Hemodialysis Stations48

Medicare-Certified SinceJune 5, 2009

Location120 Miller StWinston Salem, NC 27103 · Forsyth County

Phone(336) 724-0468

Services Offered

In-center hemodialysis Evening shifts (after 5 PM)

Patient Survey Results

Nephrologists’ communication and caring

Patients who reported their kidney doctors always communicated well and cared for them as a person.

73% 5/5

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.

66% 4/5

Providing information to patients

Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.

74% 2/5

Rating of the kidney doctors

Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).

63% 4/5

Rating of the dialysis center staff

Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).

59% 3/5

Rating of the dialysis center

Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).

67% 3/5

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.

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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 Miller Street Dialysis Center Of Wake Forest University's NPI number?

The NPI number for Miller Street Dialysis Center Of Wake Forest University is 1407000540. It was assigned to this organization in the NPPES registry on November 14, 2008. The provider is doing business as Miller Street Dialysis Center.

Where is Miller Street Dialysis Center Of Wake Forest University located?

Miller Street Dialysis Center Of Wake Forest University is located at 120 Miller St, Winston Salem, NC 27103. The listed phone number is (336) 721-4801.

What is Miller Street Dialysis Center Of Wake Forest University'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 Miller Street Dialysis Center Of Wake Forest University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1092234) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Miller Street Dialysis Center Of Wake Forest University a Medicare-certified dialysis facility?

Yes. Miller Street Dialysis Center is a Medicare-certified dialysis facility, certified since June 5, 2009.

What quality rating does Miller Street Dialysis Center Of Wake Forest University have?

CMS rates Miller Street Dialysis Center 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Miller Street Dialysis Center Of Wake Forest University 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 2 other insurers list Miller Street Dialysis Center Of Wake Forest University 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 Miller Street Dialysis Center Of Wake Forest University was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.