Organization · Type 2 NPI

Total Renal Care of North Carolina, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Southern Pines, NC

NPI number 1467411199 Active

Practice location

209 Windstar Pl
Southern Pines, NC 28387-7086

Call (910) 692-6218 Map

Fax (910) 692-9473

Mailing address

5200 Virginia Way, L&c Dept.
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1467411199
Entity type: Organization (Type 2)
Issued: Mar 21, 2006
Last updated: Jan 14, 2026
Status: Active

Other names

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Southern Pines Dialysis Center · doing business as
Southern Pines Dialysis Center · doing business as

Authorized official

Samuel Wey
VP Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467411199

Total Renal Care of North Carolina, LLC's National Provider Identifier is 1467411199, issued on Mar 21, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Southern Pines, NC. The record was last updated on Jan 14, 2026.