Grovetown Dialysis Clinic LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

GROVETOWN DIALYSIS CLINIC LLC

Doing business as

Nephrology Centers of America - Grovetown

Practice address

444 Park West Dr
Grovetown, GA 30813-3216

Phone

(706) 863-3103

Fax

(706) 863-1778

NPI assigned

May 4, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sara Anne Brady

Title

Chief Nursing Officer

Phone

(208) 371-7878

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nephrology Centers of America - Grovetown Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Nephrology Centers of America GrovetownCCN 112609

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 17, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

20

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Barton C Brezina, MD

  • Nephrology Physician
  • Augusta, GA
  • NPI 1205824877

  Dialysis facility

  Care Compare affiliation Name & address match
• Harold Douglas Hubert III, M.D.

  • Nephrology Physician
  • Augusta, GA
  • NPI 1417171307

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1013141233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 PARK WEST DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133216",
            "telephone_number": "706-863-3103",
            "fax_number": "706-863-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 PARK WEST DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133216",
            "telephone_number": "706-863-3103",
            "fax_number": "706-863-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVETOWN DIALYSIS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000950617F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nephrology Centers of America - Grovetown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nephrology Centers of America - Grovetown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shontanae Imani Green, MS, LPC, NCC
• Krysta Noelle Greenleaf, PHARM.D
• Dorothy Ann Gresham, PHD, NP, CNOR
• Seth Blaine Grover, PT
• Grovetown Chiropractic Incorporated
• Andrea Hairston
• Steven Hall
• Hallwaysmentalhealthllc
• Jeremy Hargis
• Auburn Harkenrider

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Grovetown, GA
• Providers in Grovetown, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.