Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DVA HEALTHCARE RENAL CARE INC
NPI 1639695984
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Goldsboro, NC

Q: What is DVA Healthcare Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1639695984. It was assigned to this organization in the NPPES registry on August 18, 2017. The provider is doing business as Coastal Plains.

Q: What is DVA Healthcare Renal Care Inc'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 DVA Healthcare Renal Care Inc have?

CMS rates DaVita Coastal Plain Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since August 18, 2017CLIA 34D2135689 · Waiver

3/5

Overall Rating

209 NC HIGHWAY 111 S, GOLDSBORO, NC 27534(919) 778-5766(919) 751-7672 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Dec 11, 2024, Mar 8, 2023 and 5 more (8 updates tracked since 2017).

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About Dva Healthcare Renal Care Inc NPPES

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

DVA HEALTHCARE RENAL CARE INC (NPI 1639695984), doing business as Coastal Plains, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Goldsboro, North Carolina and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1639695984

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDVA HEALTHCARE RENAL CARE INC

Location Address209 NC HIGHWAY 111 SGoldsboro, NC 27534-9253

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

Phone(919) 778-5766

Fax(919) 751-7672

Organization SubpartNo

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

Enumeration DateAugust 18, 2017

Last NPPES UpdateAugust 13, 20268 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1639695984 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

209 NC HIGHWAY 111 S, Goldsboro, NC 27534

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Other Names 1

Doing Business AsCoastal Plains

Other Identifiers 1

Medicaid1639695984NC

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 34D2135689

Coastal Plains Dialysis · Goldsboro, NC

Active · expires Aug 24, 2027

CLIA Number34D2135689

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateAugust 25, 2025

Certificate Expiration DateAugust 24, 2027

Laboratory DirectorThejaswini Kaggere

Laboratory Phone(919) 778-5766

Laboratory LocationCoastal Plains Dialysis209 Nc Highway 111 S, Goldsboro, NC 27534

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 Coastal Plain Dialysis (CMS certification number 342723), from CMS Care Compare.

DaVita Coastal Plain Dialysis

Dialysis facility · Goldsboro, NC

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number342723

ESRD NetworkNetwork 6

Hemodialysis Stations12

Medicare-Certified SinceJanuary 10, 2018

Location209 NC Hwy 111 SGoldsboro, NC 27534 · Wayne County

Phone(919) 778-5766

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 DVA Healthcare Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1639695984. It was assigned to this organization in the NPPES registry on August 18, 2017. The provider is doing business as Coastal Plains.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 209 Nc Highway 111 S, Goldsboro, NC 27534. The listed phone number is (919) 778-5766.

What is DVA Healthcare Renal Care Inc'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 DVA Healthcare Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2135689) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Healthcare Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Coastal Plain Dialysis is a Medicare-certified dialysis facility, certified since January 10, 2018.

What quality rating does DVA Healthcare Renal Care Inc have?

CMS rates DaVita Coastal Plain Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Healthcare Renal Care Inc 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 6 other insurers list DVA Healthcare Renal Care Inc 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 DVA Healthcare Renal Care Inc was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.