Macon Southside Dialysis Center LLC

Primary specialty

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

Legal business name

MACON SOUTHSIDE DIALYSIS CENTER LLC

Practice address

2117 Eisenhower Pkwy
Macon, GA 31206-3185

Phone

(478) 744-9551

Fax

(478) 744-9553

NPI assigned

Dec 1, 2014

Last updated

Jul 6, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Macon Southside Dialysis CenterCCN 112899

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Apr 15, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

21

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimathi Sipho Ricardo Blackwood, M.D.

  • Nephrology Physician
  • Macon, GA
  • NPI 1609071448
  NPD (past)

Affiliated clinicians 3

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

• Muhammad Sohail Akbar, M.D.

  • Specialist
  • Macon, GA
  • NPI 1891786299

  Dialysis facility

  Care Compare affiliation Name & address match
• Abdul Haseeb, MD

  • Nephrology Physician
  • Macon, GA
  • NPI 1548754856

  Dialysis facility

  Care Compare affiliation Name & address match
• Sagar Jayant Panse, M.D.

  • Nephrology Physician
  • Macon, GA
  • NPI 1033132212

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1073910485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 EISENHOWER PKWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312063185",
            "telephone_number": "478-744-9551",
            "fax_number": "478-744-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 EISENHOWER PKWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312063185",
            "telephone_number": "478-744-9551",
            "fax_number": "478-744-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON SOUTHSIDE DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "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": "003159743A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macon Physical Therapy
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• Macon Rehabilitation and Healthcare Center, LLC
• Macon Senior Living, LLC (Flint River)
• Macon Surgical Associates
• Macon Usmile LLC
• Macon Vascular Care, LLC
• Macon Vascular Care, LLC
• Macon Vascular Care, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Macon, GA
• Providers in Macon, 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 Jul 6, 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.