Active NPI
Dialysis Center of Carolina LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sumter, SC
National Provider Identifier
1407494362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DIALYSIS CENTER OF CAROLINA LLC
- Practice address
- 325 W Wesmark Blvd Ste a
Sumter, SC 29150-1987 - Phone
- (803) 418-0157
- Fax
- (803) 418-5499
- NPI assigned
- Dec 11, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
325 W Wesmark Blvd Ste a
Sumter, SC 29150-1987
Mailing address
325 W Wesmark Blvd Ste a
Sumter, SC 29150-1987
Phone (803) 418-0157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201208000147 | SC | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9931511482 | Practice locations: Sumter, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2189072 | Dialysis Center of Carolina, LLC | Certificate of waiver | Jul 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
325 W Mark Blvd
Ste A
Sumter, SC 29150
Phone (803) 418-0157
325 W Wesmark Blvd
#A
Sumter, SC 29150
Phone (803) 418-0157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1407494362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W WESMARK BLVD STE A",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501987",
"telephone_number": "803-418-0157",
"fax_number": "803-418-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W WESMARK BLVD STE A",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501987",
"telephone_number": "803-418-0157",
"fax_number": "803-418-5499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYSIS CENTER OF CAROLINA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-11",
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
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.