Organization Active NPI

South Augusta Dialysis Clinic LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Augusta, GA
National Provider Identifier
1356749212
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SOUTH AUGUSTA DIALYSIS CLINIC LLC
Practice address
2115 Windsor Spring Rd Ste 18
Augusta, GA 30906-4883
Phone
(706) 798-5774
Fax
(706) 796-3465
NPI assigned
Dec 9, 2014
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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

2115 Windsor Spring Rd Ste 18
Augusta, GA 30906-4883

Mailing address

2115 Windsor Spring Rd Ste 18
Augusta, GA 30906-4883
Phone (706) 798-5774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150212001096 GA Part A Provider - End-Stage Renal Disease Facility (ESRD) 9537484621 Practice locations: Augusta, GA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
South Augusta Dialysis Clinic, LLCCCN 112669
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Oct 15, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
16

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
11D0960346South Augusta Dialysis Clinic, LLC2115 Windsor Spring Road, Suite 18, Augusta, GA 30906Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1356749212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 WINDSOR SPRING RD STE 18",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309064883",
            "telephone_number": "706-798-5774",
            "fax_number": "706-796-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 WINDSOR SPRING RD STE 18",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309064883",
            "telephone_number": "706-798-5774",
            "fax_number": "706-796-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH AUGUSTA DIALYSIS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.