NORTHSIDE DIALYSIS CENTER
NPI 1114904133
Clinic/center, End-stage Renal Disease (esrd) Treatment in Winston-salem,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 30, 2005

Contact Information

500 W Hanes Mill Rd
Winston-salem,
Post Code: 27105
Phone: (336) 744-0577
Fax: (336) 744-9021

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Northside Dialysis Center in Winston-salem - Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

Northside Dialysis Center is a Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Winston-salem, . Northside Dialysis Center practices all healthcare services and medical treatments related to Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. The NPI Number for Northside Dialysis Center is 1114904133. The last update date is 2023-08-15.

Northside Dialysis Center's current location address is 500 W Hanes Mill Rd, Winston-salem, . You can contact this provider via phone number (336) 744-0577 and fax number (336) 744-9021. The mailing address for Northside Dialysis Center is 500 W Hanes Mill Rd, Winston-salem, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114904133
Provider Legal Name
NORTHSIDE DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
Other Organization Name
NORTHSIDE DIALYSIS CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
500 W Hanes Mill Rd, Winston-salem,
Location Phone
(336) 744-0577
Location Fax
(336) 744-9021
Mailing Address
Po Box 7710, Tifton, Georgia(GA)
Mailing Phone
229-387-3527
Mailing Fax
229-386-2149
Enumeration Date
2005-12-30
Last Update Date
2023-08-15
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
-
License No.
-
License State
North Carolina (NC)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00084 Other (non-Medicare) (01) North Carolina (NC) BCBS-NC
3402612 MEDICAID (05) North Carolina (NC)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114904133
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124180816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2124180816
2 + 1 + 2 + 4 + 1 + 8 + 0 + 8 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3 3

The NPI number 1114904133 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114903911 WILLIAM SIDNEY GIBSON
Individual
Dentist, General Practice 904 SPIVEY RD
WHITEVILLE, North Carolina (NC)
910-648-7741
1114903861 GREGORY E BALDY
Individual
Chiropractor 3700 SIX FORKS RD
RALEIGH, North Carolina (NC)
919-787-8883
1114903564 MARY M. WALSH
Individual
Occupational Therapist, Hand PO BOX 87089
FAYETTEVILLE, North Carolina (NC)
910-484-4653
1114903432 DAVID G. BENNETT
Individual
Physician Assistant 100 BREWSTER BLVD
CAMP LEJEUNE, North Carolina (NC)
910-450-4799
1114903382 MARGARET HOPE MUSTOE
Individual
Pediatrics 64 PEACHTREE RD
ASHEVILLE, North Carolina (NC)
828-277-3000