GREATER CHARLESTON DIALYSIS, PLLC
NPI 1679568778
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in South Charleston, WV

Active since September 14, 2005CLIA 51D1021173 · Waiver
24 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25303(304) 720-2222(304) 720-2322 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greater Charleston Dialysis, Pllc NPPES

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

GREATER CHARLESTON DIALYSIS, PLLC (NPI 1679568778) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in South Charleston, West Virginia and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Julian L. Espiritu, Director, as its authorized official.

NPPES Registry Identity

NPI1679568778
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameGREATER CHARLESTON DIALYSIS, PLLC
Location Address24 MACCORKLE AVE SWSouth Charleston, WV 25303-1476
Mailing Address24 Maccorkle Ave SwSouth Charleston, WV 25303-1476 · (304) 720-2222 · Fax (304) 720-2322
Fax(304) 720-2322
Organization SubpartNo
Authorized OfficialJulian L. EspirituDirector · (304) 720-2222
Enumeration DateSeptember 14, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1679568778 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
License Licensed in WV · 43517
24 MACCORKLE AVE SW, South Charleston, WV 25303

Other Identifiers 1

Medicaid0071269-001WV

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 51D1021173

Greater Charleston Diaylsis · South Charleston, WV
Active · expires Jan 13, 2028
CLIA Number51D1021173
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorJulian L. Espiritu MD
Laboratory Phone(304) 720-2222
Laboratory LocationGreater Charleston Diaylsis24 Maccorkle Avenue SW 1st Floor, South Charleston, WV 25303
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
24 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25303
Specialist
24 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25303
Dietitian, Registered (Nutrition, Renal)
24 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25303
Ophthalmology
24 MACCORKLE AVE SW, SUITE 202
SOUTH CHARLESTON, WV 25303
Specialist
24 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25303
Clinic/Center (Medical Specialty)
24 MACCORKLE AVE SW, SUITE 203
SOUTH CHARLESTON, WV 25303
Ophthalmology
24 MACCORKLE AVE SW, SUITE 202
SOUTH CHARLESTON, WV 25303
Specialist
24 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25303

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 Greater Charleston Dialysis, PLLC's NPI number?

The NPI number for Greater Charleston Dialysis, PLLC is 1679568778. It was assigned to this organization in the NPPES registry on September 14, 2005.

Where is Greater Charleston Dialysis, PLLC located?

Greater Charleston Dialysis, PLLC is located at 24 Maccorkle Ave SW, South Charleston, WV 25303. The listed phone number is (304) 720-2222.

What is Greater Charleston Dialysis, PLLC'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 Greater Charleston Dialysis, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D1021173) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Greater Charleston Dialysis, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.