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

Miller Street Dialysis Center of Wake Forest University

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1407000540

Miller Street Dialysis Center of Wake Forest University provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Winston Salem, North Carolina. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

120 Miller St
Winston Salem, NC 27103-2509
Phone: (336) 721-4801
Fax: (336) 721-4861
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

Record details

NPI number1407000540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Johnson — Credentialing Coord. · (229) 387-3528
Other names Miller Street Dialysis Center
NPI enumeratedNovember 14, 2008
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing addressPo Box 7350, Tifton, GA 31793-7350

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Winston Salem