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NORTH DAVIDSON DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
NPI 1821695164
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Winston Salem, NC

Active since October 08, 2020CLIA 34D2237300 · Waiver
3/5
Overall Rating
295 MILLERS CREEK DR, WINSTON SALEM, NC 27127(336) 793-0195(336) 793-0415 Get Directions Write a Review

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

Record update history: Jul 15, 2022, Oct 8, 2020 (2 updates tracked since 2020).

About North Davidson Dialysis Center Of Wake Forest University NPPES

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

NORTH DAVIDSON DIALYSIS CENTER OF WAKE FOREST UNIVERSITY (NPI 1821695164), doing business as North Davidson Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Winston Salem, North Carolina and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Kimberly Agee-clark Johnson, Credentialing Coord., as its authorized official.

NPPES Registry Identity

NPI1821695164
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNORTH DAVIDSON DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
Location Address295 MILLERS CREEK DRWinston Salem, NC 27127-8923
Mailing AddressPo Box 7350Tifton, GA 31793-7350 · (229) 387-3528 · Fax (229) 386-2149
Phone(336) 793-0195
Fax(336) 793-0415
Organization SubpartNo
Authorized OfficialKimberly Agee-clark JohnsonCredentialing Coord. · (229) 387-3528
Enumeration DateOctober 8, 2020
Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1821695164 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
295 MILLERS CREEK DR, Winston Salem, NC 27127
Open in Google Maps ↗

Other Names 1

Doing Business AsNorth Davidson Dialysis Center

Other Identifiers 1

Medicaid1821695164NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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 34D2237300

North Davidson Dialysis Center Of Wake Forest University · Winston-Salem, NC
Active · expires Sep 22, 2027
CLIA Number34D2237300
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorDeanna Jones
Laboratory Phone(336) 793-0195
Laboratory LocationNorth Davidson Dialysis Center Of Wake Forest University295 Miller's Creek Dr, Winston-Salem, NC 27127
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 North Davidson Dialysis Center of Wake Forest University (CMS certification number 342767), from CMS Care Compare.

North Davidson Dialysis Center of Wake Forest University

Dialysis facility · Winston Salem, NC
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
ChainOther
CMS Certification Number342767
ESRD NetworkNetwork 6
Hemodialysis Stations19
Medicare-Certified SinceJune 27, 2022
Location295 Millers Creek Dr.Winston Salem, NC 27127 · Forsyth County
Phone(336) 793-0415
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 Davidson Dialysis Center Of Wake Forest University's NPI number?

The NPI number for North Davidson Dialysis Center Of Wake Forest University is 1821695164. It was assigned to this organization in the NPPES registry on October 8, 2020. The provider is doing business as North Davidson Dialysis Center.

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

North Davidson Dialysis Center Of Wake Forest University is located at 295 Millers Creek Dr, Winston Salem, NC 27127. The listed phone number is (336) 793-0195.

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

Yes. A Certificate of Waiver (number 34D2237300) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

Yes. North Davidson Dialysis Center of Wake Forest University is a Medicare-certified dialysis facility, certified since June 27, 2022.

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

CMS rates North Davidson 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 Davidson Dialysis Center Of Wake Forest University accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list North Davidson 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 Davidson 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.