Davita Tidewater - Virginia Beach, LLC
NPI 1710066428 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Virginia Beach, VA
Davita Tidewater - Virginia Beach, LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Virginia Beach, VA (NPI 1710066428).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Camelot Dialysis
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Davita Tidewater - Virginia Beach, LLC's NPI number?
- Davita Tidewater - Virginia Beach, LLC's National Provider Identifier (NPI) is 1710066428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Davita Tidewater - Virginia Beach, LLC?
- Davita Tidewater - Virginia Beach, LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Davita Tidewater - Virginia Beach, LLC located?
- Davita Tidewater - Virginia Beach, LLC's practice location on file with NPPES is 1800 Camelot Dr, Virginia Beach, VA 23454-2440.
- What is Davita Tidewater - Virginia Beach, LLC's phone number?
- The practice phone number listed in the NPPES registry for Davita Tidewater - Virginia Beach, LLC is (757) 481-6879.
- Who is the authorized official for Davita Tidewater - Virginia Beach, LLC?
- The authorized official listed on Davita Tidewater - Virginia Beach, LLC's NPPES record is Thomas Usilton, Sr Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Davita Tidewater - Virginia Beach, LLC's NPI active?
- Yes — Davita Tidewater - Virginia Beach, LLC's NPI (1710066428) is active in the NPPES registry as of the last update on 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.