Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Davita Tidewater - Virginia Beach, LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1710066428

Davita Tidewater - Virginia Beach, LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia Beach, Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1800 Camelot Dr Ste 100
Virginia Beach, VA 23454-2440
Phone: (757) 481-6879
Fax: (757) 496-0187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1710066428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Usilton — Sr Vice President · (770) 541-7922
Other names Camelot Dialysis
NPI enumeratedNovember 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5200 Virginia Way, Ste 400 L&C, Brentwood, TN 37027-7569

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