WILKES DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
NPI 1760904155
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in North Wilkesboro, NC

Q: What is Wilkes 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.

Q: What quality rating does Wilkes Dialysis Center Of Wake Forest University have?

CMS rates Wilkes 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.

Active since July 07, 2017CLIA 34D1067061 · Waiver

3/5

Overall Rating

1917 W PARK DR # A, NORTH WILKESBORO, NC 28659(336) 667-3762(336) 667-1183 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2020, Jul 7, 2017 (2 updates tracked since 2017).

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About Wilkes Dialysis Center Of Wake Forest University NPPES

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

WILKES DIALYSIS CENTER OF WAKE FOREST UNIVERSITY (NPI 1760904155), doing business as Wilkes Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in North Wilkesboro, North Carolina and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Kimberly Agee-clark Johnson, Credentialing Coord., as its authorized official.

NPPES Registry Identity

NPI1760904155

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameWILKES DIALYSIS CENTER OF WAKE FOREST UNIVERSITY

Location Address1917 W PARK DR # ANorth Wilkesboro, NC 28659-3564

Mailing AddressPo Box 7350Tifton, GA 31793-7350 · (229) 387-3528 · Fax (229) 386-2149

Phone(336) 667-3762

Fax(336) 667-1183

Organization SubpartNo

Authorized OfficialKimberly Agee-clark JohnsonCredentialing Coord. · (229) 387-3528

Enumeration DateJuly 7, 2017

Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2026

✔ NPI 1760904155 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

1917 W PARK DR # A, North Wilkesboro, NC 28659

Open in Google Maps ↗

Other Names 1

Doing Business AsWilkes Dialysis Center

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 34D1067061

Wilkes Dialysis Center Of Wake Forest University · North Wilkesboro, NC

Active · expires Apr 9, 2027

CLIA Number34D1067061

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateApril 10, 2025

Certificate Expiration DateApril 9, 2027

Laboratory DirectorHiba Sheikh

Laboratory Phone(336) 667-3762

Laboratory LocationWilkes Dialysis Center Of Wake Forest University1917-A West Park Drive, North Wilkesboro, NC 28659

CLIA data matches this NPI record on: 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 Wilkes Dialysis Center Of Wake Forest University (CMS certification number 342724), from CMS Care Compare.

Wilkes Dialysis Center Of Wake Forest University

Dialysis facility · North Wilkesboro, NC

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipNon-profit

ChainWake Forest University

CMS Certification Number342724

ESRD NetworkNetwork 6

Hemodialysis Stations24

Medicare-Certified SinceFebruary 16, 2018

Location1917 W. PARK DR SUITE ANorth Wilkesboro, NC 28659 · Wilkes County

Phone(336) 296-3043

Services Offered

In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES

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

MS. MARY ELIZABETH MARSH LCSW

Social Worker (Clinical)

1917 W PARK DR # A
NORTH WILKESBORO, NC 28659

Wilkes County (336) 903-6814

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 Wilkes Dialysis Center Of Wake Forest University's NPI number?

The NPI number for Wilkes Dialysis Center Of Wake Forest University is 1760904155. It was assigned to this organization in the NPPES registry on July 7, 2017. The provider is doing business as Wilkes Dialysis Center.

Where is Wilkes Dialysis Center Of Wake Forest University located?

Wilkes Dialysis Center Of Wake Forest University is located at 1917 W Park Dr # A, North Wilkesboro, NC 28659. The listed phone number is (336) 667-3762.

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

Yes. A Certificate of Waiver (number 34D1067061) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

Yes. Wilkes Dialysis Center Of Wake Forest University is a Medicare-certified dialysis facility, certified since February 16, 2018.

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

CMS rates Wilkes 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 Wilkes 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 Wilkes 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 Wilkes 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 6 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.