OrganizationActive
Davita Tidewater - Virginia Beach, LLC
NPI 1710066428 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Virginia Beach, VA
Provider details
- NPI number
- 1710066428
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Usilton, Sr Vice President(770) 541-7922
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
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.