Triad Dialysis Center of Wake Forest University

Primary specialty

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

Legal business name

TRIAD DIALYSIS CENTER OF WAKE FOREST UNIVERSITY

Doing business as

Triad Dialysis Center

Practice address

4370 Regency Dr
High Point, NC 27265-9400

Phone

(336) 454-0076

Fax

(336) 454-0231

NPI assigned

Dec 30, 2005

Last updated

Feb 9, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kimberly Agee-Clark Johnson, MBA

Title

Credentialing Coord.

Phone

(229) 387-3528

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Triad Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Listed as

Triad Dialysis CenterCCN 342599

Overall star rating

3.0 of 5

Ownership

Non-profit

Certified

Oct 11, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Wake Forest University

Dialysis stations

27

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Wake Forest University Health Sciences

  • Ophthalmology Physician
  • Greensboro, NC
  • NPI 1225139249

  Member Of

  NPD member

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Adetoye Lufadeju, M.D

  • Nephrology Physician
  • High Point, NC
  • NPI 1023327426

  Dialysis facility

  Care Compare affiliation Name & address match
• Ikechukwu Onyekachi Nwobu

  • Nephrology Physician
  • High Point, NC
  • NPI 1366645848

  Dialysis facility

  Care Compare affiliation Name & address match
• Michael Vito Rocco, MD

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1437134525

  Dialysis facility

  Care Compare affiliation Name & address match
• Jeanne Marie Zekan, MD

  • Nephrology Physician
  • High Point, NC
  • NPI 1952344996

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1740267681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7350",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317937350",
            "telephone_number": "229-387-3528",
            "fax_number": "229-386-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 REGENCY DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659400",
            "telephone_number": "336-454-0076",
            "fax_number": "336-454-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD DIALYSIS CENTER OF WAKE FOREST UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "AGEE-CLARK",
        "authorized_official_title_or_position": "CREDENTIALING COORD.",
        "authorized_official_telephone_number": "229-387-3528",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3402599",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Triad Care, Inc.
• Triad Care, Inc.
• Triad Care, Inc.
• Triad Care, Inc.
• Triad Day Group LLC
• Triad Eye Associates of High Point OD PA
• Triad Medical Transportation
• Triad Outreach Center, Inc. (The Healthcare Training Center)
• Triad Pediatrics, PC
• Triad Primary Health and Wellness, PLLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in High Point, NC
• Providers in High Point, NC by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.

Verify at the official NPI Registry.