Active NPI
Abner Dialysis, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wilson, NC
National Provider Identifier
1740001809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- ABNER DIALYSIS, LLC
- Practice address
- 2800 Raleigh Road Pkwy W Ste B6
Wilson, NC 27896-8655 - Phone
- (615) 935-2411
- NPI assigned
- Oct 22, 2024
- 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) 341-6691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2800 Raleigh Road Pkwy W Ste B6
Wilson, NC 27896-8655
Mailing address
5200 Virginia Way
L & C Department
Brentwood, TN 37027-7569
Other names 1
- Wilson Home Training
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 |
|---|---|---|---|
| 34D2319277 | Wilson Home Training | Certificate of waiver | Feb 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
2800 Raleigh Road Pkwy W
Ste B6
Wilson, NC 27896
Phone (615) 935-2411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1740001809",
"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": "2800 RALEIGH ROAD PKWY W STE B6",
"city": "WILSON",
"state": "NC",
"postal_code": "278968655",
"telephone_number": "615-935-2411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABNER DIALYSIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"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": "615-341-6691"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilson Home Training",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.