OrganizationActive
Davita Tidewater - Virginia Beach, LLC
NPI 1689605008 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Virginia Beach, VA
Provider details
- NPI number
- 1689605008
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1800 Camelot Dr
Ste 100
Virginia Beach, VA 23454-2440
Phone: (757) 481-6879
Fax: (757) 496-0187
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Camelot Dialysis Center
- Doing business as
- Camelot Dialysis Center
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.