DAVIE KIDNEY CENTER OF WAKE FOREST UNIVERSITY
NPI 1932421427
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mocksville, NC

Q: What is Davie Kidney 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 Davie Kidney Center Of Wake Forest University have?

CMS rates Davie Kidney Center 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since February 24, 2010CLIA 34D2004455 · Waiver

3/5

Overall Rating

190 INTERSTATE DR, MOCKSVILLE, NC 27028(336) 753-1210(336) 753-1529 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Davie Kidney Center Of Wake Forest University NPPES

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

DAVIE KIDNEY CENTER OF WAKE FOREST UNIVERSITY (NPI 1932421427), doing business as Davie Kidney Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mocksville, North Carolina and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Kimberly Agee-clark Johnson, Credentialing Coord., as its authorized official.

NPPES Registry Identity

NPI1932421427

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDAVIE KIDNEY CENTER OF WAKE FOREST UNIVERSITY

Location Address190 INTERSTATE DRMocksville, NC 27028-4195

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

Phone(336) 753-1210

Fax(336) 753-1529

Organization SubpartNo

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

Enumeration DateFebruary 24, 2010

Last NPPES UpdateFebruary 9, 2026

NPPES CertifiedFebruary 9, 2026

✔ NPI 1932421427 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

190 INTERSTATE DR, Mocksville, NC 27028

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Other Names 1

Doing Business AsDavie Kidney Center

Other Identifiers 1

Medicaid3402677NC

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 34D2004455

Davie Kidney Center Of Wake Forest University · Mocksville, NC

Active · expires Mar 3, 2028

CLIA Number34D2004455

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateMarch 4, 2026

Certificate Expiration DateMarch 3, 2028

Laboratory DirectorAndrew H. Spangler

Laboratory Phone(336) 753-1210

Laboratory LocationDavie Kidney Center Of Wake Forest University190 Interstate Drive, Mocksville, NC 27028

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 Davie Kidney Center (CMS certification number 342677), from CMS Care Compare.

Davie Kidney Center

Dialysis facility · Mocksville, NC

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipNon-profit

ChainWake Forest University

CMS Certification Number342677

ESRD NetworkNetwork 6

Hemodialysis Stations24

Medicare-Certified SinceSeptember 9, 2010

Location190 Interstate DriveMocksville, NC 27028 · Davie County

Phone(336) 753-1210

Services Offered

In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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 Davie Kidney Center Of Wake Forest University's NPI number?

The NPI number for Davie Kidney Center Of Wake Forest University is 1932421427. It was assigned to this organization in the NPPES registry on February 24, 2010. The provider is doing business as Davie Kidney Center.

Where is Davie Kidney Center Of Wake Forest University located?

Davie Kidney Center Of Wake Forest University is located at 190 Interstate Dr, Mocksville, NC 27028. The listed phone number is (336) 753-1210.

What is Davie Kidney 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 Davie Kidney Center Of Wake Forest University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2004455) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Davie Kidney Center Of Wake Forest University a Medicare-certified dialysis facility?

Yes. Davie Kidney Center is a Medicare-certified dialysis facility, certified since September 9, 2010.

What quality rating does Davie Kidney Center Of Wake Forest University have?

CMS rates Davie Kidney Center 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Davie Kidney 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 Davie Kidney 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 Davie Kidney 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 7 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.