FMS Ena Home, LLC

Primary specialty

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

Legal business name

FMS ENA HOME, LLC

Practice address

305 Medical Arts Dr
Edenton, NC 27932-8608

Phone

(252) 479-8820

Fax

(252) 301-3343

NPI assigned

Nov 30, 2021

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Denise Wright

Title

Vice President

Phone

(781) 676-5200

Specialties & licenses 1

Addresses

Other names 1

• Chowan Home Dialysis Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• FMS Ena Home, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tarboro, NC
  • NPI 1487197406

  8224305396

  Same PAC ID

Listed as

FMC Chowan Home DialysisCCN 342765

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Apr 21, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

1

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

CLIA laboratory certificates

Tax ID family

Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• FMS Ena Home, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tarboro, NC
  • NPI 1487197406
  NPD tax ID

Member of 2

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

• Bio-Medical Applications of North Carolina, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Laurinburg, NC
  • NPI 1902918733

  Member Of

  NPD member
• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Kristel J McLawhorn, M.D.

  • Nephrology Physician
  • Greenville, NC
  • NPI 1447475900

  Dialysis facility

  Care Compare affiliation Name & address match
• Anthony Provenzano

  • Nephrology Physician
  • Greenville, NC
  • NPI 1710371091

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1831857655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MEDICAL ARTS DR",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279328608",
            "telephone_number": "252-479-8820",
            "fax_number": "252-301-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEDICAL ARTS DR",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279328608",
            "telephone_number": "252-479-8820",
            "fax_number": "252-301-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMS ENA HOME, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2021-11-30",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Chowan Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chowan Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Lichtenwalner English, LPC
• Traci Etheridge
• Eye Care of Edenton, O.D., PLLC
• Faith Counseling and Clinical Consultation Services, PLLC
• Rachel Elizabeth Ferrell, FNP-C
• Amy Rene Freeman, PHARM.D.
• Sheneice Necole Freeman
• Michael David Gavigan, M.D.
• Tiffany Gilliam, DACM, BCND, M.AC, YS
• Travis Maurice Gilliard, R.PH.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Edenton, NC
• Providers in Edenton, 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 Sep 2, 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.