Renal Treatment Centers Mid Atlantic Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

RENAL TREATMENT CENTERS MID ATLANTIC INC

Practice address

3955 Pender Dr
Suite 110
Fairfax, VA 22030-6091

Phone

(703) 385-5315

Fax

(703) 385-6731

NPI assigned

Apr 14, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Fair Oaks Dialysis Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1346204575",
    "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": "3955 PENDER DR",
            "address_2": "SUITE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306091",
            "telephone_number": "703-385-5315",
            "fax_number": "703-385-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS MID ATLANTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346204575",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fair Oaks Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fair Oaks Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Relat, ND
• Elizabeth Suzanne Rellis, CPNP
• Remedium Pharmacy, LLC
• Jami Alison Remien, PMHNP -BC, PNP
• Renal Carepartners of Fairfax, LLC
• Renascance Dermatology PC
• Brianna Rendin
• Christopher A Reneau, NP
• Renewal of the Mind
• Renewed Oriental Medicine Clinic, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.