Organization Active NPI

Dialysis Center of Carolina LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sumter, SC
National Provider Identifier
1407494362
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 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

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

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 IDStateProvider typePAC IDDetails
O20201208000147 SC Part A Provider - End-Stage Renal Disease Facility (ESRD) 9931511482 Practice locations: Sumter, SC

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
42D2189072Dialysis Center of Carolina, LLC325 West Wesmark Blvd, Sumter, SC 29150Certificate of waiverJul 26, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.