COPPERFIELD DIALYSIS
NPI 1417916909
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Concord, NC

Q: What is Central Carolina Dialysis Centers 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 Central Carolina Dialysis Centers LLC have?

CMS rates DaVita Copperfield Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since March 22, 2006CLIA 34D1014956 · Waiver

2/5

Overall Rating

1030 VINEHAVEN DR NE, CONCORD, NC 28025(704) 795-7552(704) 795-7567 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2025, May 17, 2023, Apr 29, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Copperfield Dialysis NPPES

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

COPPERFIELD DIALYSIS (NPI 1417916909) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Concord, North Carolina and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1417916909

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameCENTRAL CAROLINA DIALYSIS CENTERS LLC

Location Address1030 VINEHAVEN DR NEConcord, NC 28025-2438

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569

Phone(704) 795-7552

Fax(704) 795-7567

Organization SubpartNo

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

Enumeration DateMarch 22, 2006

Last NPPES UpdateJanuary 6, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1417916909 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

1030 VINEHAVEN DR NE, Concord, NC 28025

Open in Google Maps ↗

Other Names 1

Doing Business AsCopperfield Dialysis

Other Identifiers 1

Medicaid3412631NC

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 34D1014956

Copperfield Dialysis Total Renal Care Of Nc Dba · Concord, NC

Active · expires Jul 20, 2027

CLIA Number34D1014956

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJuly 21, 2025

Certificate Expiration DateJuly 20, 2027

Laboratory DirectorJohn S. Gerig

Laboratory Phone(253) 272-1916

Laboratory LocationCopperfield Dialysis Total Renal Care Of Nc Dba1030 Vinehaven Dr, Concord, NC 28025

CLIA data matches this NPI record on: Address 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 DaVita Copperfield Dialysis (CMS certification number 342631), from CMS Care Compare.

DaVita Copperfield Dialysis

Dialysis facility · Concord, NC

2/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number342631

ESRD NetworkNetwork 6

Hemodialysis Stations27

Medicare-Certified SinceOctober 29, 2003

Location1030 VINEHAVEN DR NEConcord, NC 28025 · Cabarrus County

Phone(704) 795-7552

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 Central Carolina Dialysis Centers LLC's NPI number?

The NPI number for Central Carolina Dialysis Centers LLC is 1417916909. It was assigned to this organization in the NPPES registry on March 22, 2006. The provider is doing business as Copperfield Dialysis.

Where is Central Carolina Dialysis Centers LLC located?

Central Carolina Dialysis Centers LLC is located at 1030 Vinehaven Dr NE, Concord, NC 28025. The listed phone number is (704) 795-7552.

What is Central Carolina Dialysis Centers 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 Central Carolina Dialysis Centers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1014956) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Central Carolina Dialysis Centers LLC a Medicare-certified dialysis facility?

Yes. DaVita Copperfield Dialysis is a Medicare-certified dialysis facility, certified since October 29, 2003.

What quality rating does Central Carolina Dialysis Centers LLC have?

CMS rates DaVita Copperfield Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Central Carolina Dialysis Centers 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 Central Carolina Dialysis Centers 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 Central Carolina Dialysis Centers LLC was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.