NORTH RANDOLPH DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
NPI 1699129627
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Archdale, NC
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
Specialties & Licenses
Other Names 1
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, NCDialysis 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, NCFrequently 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.