Organization Active NPI

Columbia Northeast Kidney Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Columbia, SC
National Provider Identifier
1659672491
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
COLUMBIA NORTHEAST KIDNEY CENTER LLC
Practice address
7499 Parklane Rd
Suite 136
Columbia, SC 29223-7650
Phone
(803) 865-0554
Fax
(803) 865-2816
NPI assigned
Nov 10, 2010
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

7499 Parklane Rd
Suite 136
Columbia, SC 29223-7650

Mailing address

7499 Parklane Rd
Suite 136
Columbia, SC 29223-7650
Phone (803) 865-0554

Other identifiers 1

IdentifierTypeStateIssuer
RE0026MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110125000628 SC Part A Provider - End-Stage Renal Disease Facility (ESRD) 6204015134 Practice locations: Columbia, SC

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Columbia Northeast Kidney CenterCCN 422587
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Oct 15, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
20

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
42D1003022Columbia Northeast Kidney Center, LLC7499 Parklane Rd, Columbia, SC 29223Certificate of waiverAug 19, 2026

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": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1659672491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7499 PARKLANE RD",
            "address_2": "SUITE 136",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237650",
            "telephone_number": "803-865-0554",
            "fax_number": "803-865-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7499 PARKLANE RD",
            "address_2": "SUITE 136",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237650",
            "telephone_number": "803-865-0554",
            "fax_number": "803-865-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA NORTHEAST KIDNEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "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": "RE0026",
            "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 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.