DAVITA UPSTATE DIALYSIS NPI 1114149614

NPI Information

  • NPI: 1114149614
  • Provider Name: DAVITA UPSTATE DIALYSIS
  • Classification: Registered Nurse - 163WD1100X
  • Specialization: Dialysis, Peritoneal
  • Entity Type: Organization
  • Other Name: UPSTATE DIALYSIS #382
  • Address: 308 MILLS AVENUE
    GREENVILLE, SC
    ZIP 29605
  • Phone: (864) 271-3700

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NPI Details

DAVITA UPSTATE DIALYSIS is a dialysis and peritoneal registered nurse in Greenville, SC. DAVITA UPSTATE DIALYSIS NPI is 1114149614. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Upstate Dialysis #382.

The provider's business location address is:

308 MILLS AVENUE
GREENVILLE, SC
ZIP 29605
Phone: (864) 271-3700
Fax: (864) 271-7929

The provider's authorized official is Cynthia J. Gayle .
The authorized official title is Facility Administrator and has the following contact phone number (864) 271-3700.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WD1100XRegistered NurseDialysis, PeritonealERD-098SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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