Organization Active NPI

North Main Kidney Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Columbia, SC
National Provider Identifier
1104143460
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NORTH MAIN KIDNEY CENTER LLC
Practice address
3900 North Main St
Columbia, SC 29203-6445
Phone
(803) 779-1201
Fax
(803) 779-1202
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

3900 North Main St
Columbia, SC 29203-6445

Mailing address

3900 North Main St
Columbia, SC 29203-6445
Phone (803) 779-1201

Other identifiers 1

IdentifierTypeStateIssuer
RE0023MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100614000241 SC Part A Provider - End-Stage Renal Disease Facility (ESRD) 1052441367 Practice locations: Columbia, SC

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
North Main Kidney CenterCCN 422629
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Jan 7, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
21

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2008049North Main Kidney Center, LLC3900 North Main St, Columbia, SC 29203Certificate of waiverJun 2, 2028

National Provider Directory

National Provider Directory

Locations

3900 N Main St
Ste A
Columbia, SC 29203

3900 N Main St
Columbia, SC 29203
Phone (803) 779-1201

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1104143460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NORTH MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036445",
            "telephone_number": "803-779-1201",
            "fax_number": "803-779-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NORTH MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036445",
            "telephone_number": "803-779-1201",
            "fax_number": "803-779-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MAIN KIDNEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "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": "RE0023",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.