MT. AIRY DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
NPI 1982681904
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mount Airy, NC

Active since December 30, 2005CLIA 34D0667479 · Waiver
2/5
Overall Rating
1280 NEWSOME ST, MOUNT AIRY, NC 27030(336) 789-4090(336) 789-9629 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mt. Airy Dialysis Center Of Wake Forest University NPPES

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

MT. AIRY DIALYSIS CENTER OF WAKE FOREST UNIVERSITY (NPI 1982681904), doing business as Mt. Airy Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mount Airy, North Carolina and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kimberly Agee-clark Johnson, Credentialing Coord., as its authorized official.

NPPES Registry Identity

NPI1982681904
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMT. AIRY DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
Location Address1280 NEWSOME STMount Airy, NC 27030-5442
Mailing AddressPo Box 7350Tifton, GA 31793-7350 · (229) 387-3528 · Fax (229) 386-2149
Fax(336) 789-9629
Organization SubpartNo
Authorized OfficialKimberly Agee-clark JohnsonCredentialing Coord. · (229) 387-3528
Enumeration DateDecember 30, 2005
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
NPI 1982681904 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
1280 NEWSOME ST, Mount Airy, NC 27030

Other Names 1

Doing Business AsMt. Airy Dialysis Center

Other Identifiers 1

Medicaid3412551NC

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 34D0667479

Mt Airy Dialysis Center Of Wake Forest University · Mt Airy, NC
Active · expires Aug 31, 2026
CLIA Number34D0667479
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNicholas O. Mclean
Laboratory Phone(336) 789-4090
Laboratory LocationMt Airy Dialysis Center Of Wake Forest University1280 Newsome Street, Mt Airy, NC 27030
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 Mount Airy Dialysis Center (CMS certification number 342551), from CMS Care Compare.

Mount Airy Dialysis Center

Dialysis facility · Mount Airy, NC
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
ChainWake Forest University
CMS Certification Number342551
ESRD NetworkNetwork 6
Hemodialysis Stations27
Medicare-Certified SinceJuly 23, 1990
Location1280 NEWSOME STREETMount Airy, NC 27030 · Surry County
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
76% 5/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
79% 5/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
87% 5/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
82% 5/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
80% 5/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
85% 4/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

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 Mt. Airy Dialysis Center Of Wake Forest University's NPI number?

The NPI number for Mt. Airy Dialysis Center Of Wake Forest University is 1982681904. It was assigned to this organization in the NPPES registry on December 30, 2005. The provider is doing business as Mt. Airy Dialysis Center.

Where is Mt. Airy Dialysis Center Of Wake Forest University located?

Mt. Airy Dialysis Center Of Wake Forest University is located at 1280 Newsome St, Mount Airy, NC 27030. The listed phone number is (336) 789-4090.

What is Mt. Airy 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 Mt. Airy Dialysis Center Of Wake Forest University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0667479) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Mt. Airy Dialysis Center Of Wake Forest University a Medicare-certified dialysis facility?

Yes. Mount Airy Dialysis Center is a Medicare-certified dialysis facility, certified since July 23, 1990.

What quality rating does Mt. Airy Dialysis Center Of Wake Forest University have?

CMS rates Mount Airy Dialysis Center 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Mt. Airy 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 Mt. Airy 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 Mt. Airy 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.