Mt. Airy Dialysis Center of Wake Forest University

Primary specialty

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

Legal business name

MT. AIRY DIALYSIS CENTER OF WAKE FOREST UNIVERSITY

Doing business as

Mt. Airy Dialysis Center

Practice address

1280 Newsome St
Mount Airy, NC 27030-5442

Phone

(336) 789-4090

Fax

(336) 789-9629

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

• Mt. Airy Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Listed as

Mount Airy Dialysis CenterCCN 342551

Overall star rating

2.0 of 5

Ownership

Non-profit

Certified

Jul 23, 1990

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 7

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

• Anthony Bleyer, MD

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1346225778

  Dialysis facility

  Care Compare affiliation Name & address match
• Gregory Todd Greenwood, M.D.

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1316946858

  Dialysis facility

  Care Compare affiliation Name & address match
• Alexander Cox Hadley, MD

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1881679215

  Dialysis facility

  Care Compare affiliation Name & address match
• Joshua W Harbaugh, D.O.

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1740636125

  Dialysis facility

  Care Compare affiliation Name & address match
• Denise H. Laurienti, M.D.

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1023017563

  Dialysis facility

  Care Compare affiliation Name & address match
• Mariana Murea, MD

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1396792321

  Dialysis facility

  Care Compare affiliation Name & address match
• Andrew Henican Spangler, MD

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1578944013

  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": "1982681904",
    "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": "1280 NEWSOME ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305442",
            "telephone_number": "336-789-4090",
            "fax_number": "336-789-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. AIRY 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": "3412551",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Airy Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mount Airy Emergency Physicians, PLLC
• Mt Airy Drug Inc
• Mt Airy Foot and Ankle Center PLLC
• Mt Airy OB GYN Center, Inc
• Mt Airy Therapy & Consulting Services, PLLC
• Mt. Airy Opco, LLC (Twelve Oaks)
• Mt. Airy Operating Company LLC (Surry Community Health and Rehabilitation Center)
• Janice Murphy
• Kara Jean Narigon, FNP-BC
• Stephen Narigon, PMHNP-BC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mount Airy, NC
• Providers in Mount Airy, 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.