Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Statesville Dialysis Center of Wake Forest University

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1548247588

Statesville Dialysis Center of Wake Forest University is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Statesville, North Carolina. Medicare rates this dialysis facility 3 out of 5. Licensed in North Carolina.

CMS rating
3 of 5
Licensed in
NC
In the registry since
2005

CMS quality rating

3 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 342527)

Practice location Address checks out

627 Signal Hill Drive Ext
Statesville, NC 28625-4353
Phone: (704) 872-0148
Fax: (704) 878-2179
Show map & directions

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 (NC)

Record details

NPI number1548247588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Johnson — Credentialing Coord. · (229) 387-3528
Other names Statesville Dialysis Center
NPI enumeratedDecember 30, 2005
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing addressPo Box 7350, Tifton, GA 31793-7350

Other providers in Statesville