Active NPI
Renal Treatment Centers Mid Atlantic Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Durham, NC
National Provider Identifier
1326536327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RENAL TREATMENT CENTERS MID ATLANTIC INC
- Practice address
- 1100 N Miami Blvd
Ste 500a
Durham, NC 27703-2479 - Phone
- (919) 530-1571
- Fax
- (919) 530-8576
- NPI assigned
- Apr 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel T Wey
- Title
- VP, Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1100 N Miami Blvd
Ste 500a
Durham, NC 27703-2479
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326536327 | Medicaid | NC |
Other names 1
- Downtown Durham Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190114000087 | NC | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 4587572383 | Practice locations: Durham, NC |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Downtown Durham Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Apr 3, 2019
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 10
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2152524 | Downtown Durham Dialysis | Certificate of waiver | Aug 9, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Renal Treatment Centers Mid Atlantic Inc
Organizations with this tax ID in the same state 6
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Goldsboro, NC
- NPI 1174086698
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Burlington, NC
- NPI 1184143356
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Graham, NC
- NPI 1215393616
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Burlington, NC
- NPI 1689633224
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kenly, NC
- NPI 1780147207
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mebane, NC
- NPI 1821591967
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748822400000",
"number": "1326536327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N MIAMI BLVD",
"address_2": "STE 500A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277032479",
"telephone_number": "919-530-1571",
"fax_number": "919-530-8576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL TREATMENT CENTERS MID ATLANTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-25",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326536327",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Downtown Durham Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durham, NC
- Rachel Remmes
- Removing Mountains
- Removing Mountains Community Enrichment Program, Inc.
- Renaissance Health Center PLLC
- Renal Treatment Centers - Mid-Atlantic, Inc.
- David Rendall, P.A.
- Samantha Lucia Reneau, MSW, LCSWA, LCASA
- Renee Gaskey-Foley, D.D.S., P.a.
- Sarah Renema
- Renewed Mind Behavioral Health, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.