DaVita Jacksonville South Dialysis Center
Dialysis facility in Jacksonville, FL, Medicare certification number 102873. CMS publishes 16 quality measures for it.
Medicare certification
Provider of Services- CCN
- 102873
- Status
- Active
- Provider type
- End-stage renal disease facility
- Ownership
- Profit
- Control type
- For Profit
- Participating since
- Feb 6, 2009
- Last certification
- Jan 14, 2026
- Overall star rating
- Multi-facility organization
- Davita Inc
- Address
- 14965 Old St Augustine Rd Unit 114
Jacksonville, FL 32258
(904) 880-9494
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Jacksonville South Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jacksonville, FL
- NPI 1255587531
Name & address match
Quality measures 16
Medicare Care Compare-
Adult patients dialysed through a long-term catheter 28
-
Emergency department visits within 30 days of discharge As expected1.16
-
Health care personnel up to date with COVID-19 vaccination 2
-
Hospitalization rate As expected144.6
-
Kidney transplant waitlist ratio, first year As expected1.44
-
Mortality rate As expected25.4
-
Overall star rating As expected3
-
Patients treated through an arteriovenous fistula As expected60.9
-
Patients waitlisted for a kidney transplant As expected21.6
-
Patients with haemoglobin above 12 g/dL 0
-
Patients with haemoglobin below 10 g/dL 18
-
Readmission rate As expected25.6
-
Standardized emergency department visit ratio As expected0.93
-
Standardized infection ratio As expected0.33
-
Standardized modality switch ratio As expected1.19
-
Transfusion rate Worse69.5
Affiliated providers 3
Medicare Care CompareClinicians who list this facility as a hospital or facility affiliation in Care Compare.
-
Koteswari Kancha, MD
- Nephrology Physician
- Jacksonville, FL
- NPI 1407937170
-
Kadir Mansur, MD
- Nephrology Physician
- Jacksonville, FL
- NPI 1912975236
-
Sandeep Munjal, MD
- Nephrology Physician
- Jacksonville, FL
- NPI 1588687735
Other dialysis facilities in Jacksonville, FL
- Baptist Medical Center - Pediatric Dialysis
- Bma - Jacksonville
- Bma - Saint Johns
- DaVita Dunn Avenue Dialysis
- DaVita Jacksonville Arlington Dialysis
- DaVita Jacksonville Westside Dialysis
- DaVita Memorial Plaza Dialysis
- DaVita Philips Highway Dialysis
- DaVita Regency Dialysis Center
- DCI Jacksonville Mid-Town
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
- NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.