Organization Active NPI

Dialysis Center of Macon LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Macon, GA
National Provider Identifier
1215327267
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DIALYSIS CENTER OF MACON LLC
Practice address
890 2ND St
1St Floor
Macon, GA 31201-6863
Phone
(478) 743-0584
Fax
(478) 743-0585
NPI assigned
Jan 29, 2015
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 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

890 2ND St
1St Floor
Macon, GA 31201-6863

Mailing address

890 2ND St
1St Floor
Macon, GA 31201-6863
Phone (478) 743-0584

Other identifiers 1

IdentifierTypeStateIssuer
003160282AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150310001719 GA Part A Provider - End-Stage Renal Disease Facility (ESRD) 8729304795 Practice locations: Macon, GA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Dialysis Center of Macon, LLCCCN 112508
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Jun 3, 2015
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
11D2096366Dialysis Center of Macon LLC890 2ND Street 1St Floor, Macon, GA 31201Certificate of waiverMay 20, 2027

National Provider Directory

National Provider Directory

Locations

890 2nd St
Fl 1
Macon, GA 31201
Phone (478) 743-0584

890 2nd St
Fl First
Macon, GA 31201
Phone (478) 743-0584

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1215327267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 2ND ST",
            "address_2": "1ST FLOOR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016863",
            "telephone_number": "478-743-0584",
            "fax_number": "478-743-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 2ND ST",
            "address_2": "1ST FLOOR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016863",
            "telephone_number": "478-743-0584",
            "fax_number": "478-743-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CENTER OF MACON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "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": "003160282A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.