NORTH RANDOLPH DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
NPI 1699129627
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Archdale, NC

Active since April 15, 2016CLIA 34D2113249 · Waiver
3/5
Overall Rating
5948 MENDENHALL ROAD EXT, ARCHDALE, NC 27263(336) 434-8910(336) 434-8929 Get Directions Write a Review

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

About North Randolph Dialysis Center Of Wake Forest University NPPES

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

NORTH RANDOLPH DIALYSIS CENTER OF WAKE FOREST UNIVERSITY (NPI 1699129627), doing business as North Randolph Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Archdale, North Carolina and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through May 17, 2028 and lists Kimberly Agee-clark Johnson, Credentialing Coord., as its authorized official.

NPPES Registry Identity

NPI1699129627
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNORTH RANDOLPH DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
Location Address5948 MENDENHALL ROAD EXTArchdale, NC 27263-4349
Mailing AddressPo Box 7350Tifton, GA 31793-7350 · (229) 387-3528 · Fax (229) 386-2149
Fax(336) 434-8929
Organization SubpartNo
Authorized OfficialKimberly Agee-clark JohnsonCredentialing Coord. · (229) 387-3528
Enumeration DateApril 15, 2016
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
NPI 1699129627 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
5948 MENDENHALL ROAD EXT, Archdale, NC 27263

Other Names 1

Doing Business AsNorth Randolph Dialysis Center

Accepted 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 34D2113249

North Randolph Dialysis Center Of Wake Forest University · Archdale, NC
Active · expires May 17, 2028
CLIA Number34D2113249
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorIkechukwu O. Nwobu
Laboratory Phone(336) 434-8910
Laboratory LocationNorth Randolph Dialysis Center Of Wake Forest University5948 Mendenhall Road Ext, Archdale, NC 27263
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 North Randolph Dialysis Center of Wake Forest University (CMS certification number 342714), from CMS Care Compare.

North Randolph Dialysis Center of Wake Forest University

Dialysis facility · Archdale, NC
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
ChainWake Forest University
CMS Certification Number342714
ESRD NetworkNetwork 6
Hemodialysis Stations10
Medicare-Certified SinceNovember 9, 2016
Location5948 Mendenhall Road ExtArchdale, NC 27263 · Randolph County
Services Offered
In-center hemodialysis Peritoneal dialysis

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 North Randolph Dialysis Center Of Wake Forest University's NPI number?

The NPI number for North Randolph Dialysis Center Of Wake Forest University is 1699129627. It was assigned to this organization in the NPPES registry on April 15, 2016. The provider is doing business as North Randolph Dialysis Center.

Where is North Randolph Dialysis Center Of Wake Forest University located?

North Randolph Dialysis Center Of Wake Forest University is located at 5948 Mendenhall Road Ext, Archdale, NC 27263. The listed phone number is (336) 434-8910.

What is North Randolph 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 North Randolph Dialysis Center Of Wake Forest University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2113249) is associated with this NPI, valid through May 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is North Randolph Dialysis Center Of Wake Forest University a Medicare-certified dialysis facility?

Yes. North Randolph Dialysis Center of Wake Forest University is a Medicare-certified dialysis facility, certified since November 9, 2016.

What quality rating does North Randolph Dialysis Center Of Wake Forest University have?

CMS rates North Randolph Dialysis Center of Wake Forest University 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does North Randolph 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 North Randolph 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 North Randolph 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.