Active NPI
Deowee Dialysis LLC
Doing business as Nansemond Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DEOWEE DIALYSIS LLC
- Doing business as
- Nansemond Dialysis
- Practice address
- 3009 Corporate LN Ste 130
Suffolk, VA 23434-9344 - Phone
- (757) 539-0618
- Fax
- (757) 925-4530
- NPI assigned
- Jun 3, 2015
- Last updated
- Nov 19, 2025
- 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 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 | VA | Primary |
Addresses
Primary practice location
3009 Corporate LN Ste 130
Suffolk, VA 23434-9344
Mailing address
5200 Virginia Way
L&C Department
Brentwood, TN 37027-7569
Other names 1
- Nansemond Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150810001974 | VA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 5395050090 | Practice locations: Suffolk, VA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Nansemond Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Apr 7, 2016
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 13
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 |
|---|---|---|---|
| 49D2099795 | Nansemond Dialysis | Certificate of waiver | Aug 2, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba TRC Children's Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1396704508
Member Of
Locations
3009 Corporate Ln
Ste 130
Suffolk, VA 23434
Phone (757) 539-0618
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": "1433289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763510400000",
"number": "1336529577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPARTMENT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 CORPORATE LN STE 130",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234349344",
"telephone_number": "757-539-0618",
"fax_number": "757-925-4530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEOWEE DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-03",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"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": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nansemond Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nansemond Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Suffolk, VA
- Henry Christopher Demkowski, MD
- Rachel Denison, MSN, APRN, PMHNP-BC
- Dental Professionals of Virginia, P.C. (LWSS Family Dentistry - Suffolk)
- Dental Professionals of Virginia, P.C. (Suffolk Complete Dental Care)
- Elizabeth Mary Denzer, M.S
- Wondwossen Yilma Dererie, M.D.
- Jane Marie Derrig, DO
- Dirghayu Desai, MD
- Destined Day Services, LLC
- Jared Detrick, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.