Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Davita Tidewater - Virginia Beach, LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1689605008

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

Licensed in
VA
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 (VA)

Record details

NPI number1689605008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names Camelot Dialysis Center; Camelot Dialysis Center
NPI enumeratedJuly 5, 2006
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address5200 Virginia Way, L & C Department, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

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