GROVETOWN DIALYSIS CLINIC LLC
NPI 1013141233
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Grovetown, GA

Active since May 04, 2009CLIA 11D0913288 · Waiver
444 PARK WEST DR, GROVETOWN, GA 30813(706) 863-3103(706) 863-1778 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, Jan 10, 2023, Aug 18, 2022 and 4 more (7 updates tracked since 2016).

About Grovetown Dialysis Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GROVETOWN DIALYSIS CLINIC LLC (NPI 1013141233), doing business as Nephrology Centers Of America - Grovetown, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Grovetown, Georgia and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Sara Anne Brady, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1013141233
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameGROVETOWN DIALYSIS CLINIC LLC
Location Address444 PARK WEST DRGrovetown, GA 30813-3216
Mailing Address444 Park West DrGrovetown, GA 30813-3216 · (706) 863-3103 · Fax (706) 863-1778
Fax(706) 863-1778
Organization SubpartNo
Authorized OfficialSara Anne BradyChief Nursing Officer · (208) 371-7878
Enumeration DateMay 4, 2009
Last NPPES UpdateJune 3, 20267 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1013141233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
444 PARK WEST DR, Grovetown, GA 30813

Other Names 1

Doing Business AsNephrology Centers Of America - Grovetown

Other Identifiers 1

Medicaid000950617FGA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0913288

Grovetown Dialysis Clinic LLC · Grovetown, GA
Active · expires Mar 26, 2028
CLIA Number11D0913288
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorHarold Hubert
Laboratory Phone(706) 863-3248
Laboratory LocationGrovetown Dialysis Clinic LLC444 Park West Drive, Grovetown, GA 30813
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
444 PARK WEST DR
GROVETOWN, GA 30813

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grovetown Dialysis Clinic LLC's NPI number?

The NPI number for Grovetown Dialysis Clinic LLC is 1013141233. It was assigned to this organization in the NPPES registry on May 4, 2009. The provider is doing business as Nephrology Centers of America - Grovetown.

Where is Grovetown Dialysis Clinic LLC located?

Grovetown Dialysis Clinic LLC is located at 444 Park West Dr, Grovetown, GA 30813. The listed phone number is (706) 863-3103.

What is Grovetown Dialysis Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Grovetown Dialysis Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0913288) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grovetown Dialysis Clinic LLC accept?

Health plans from Mending Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list Grovetown Dialysis Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grovetown Dialysis Clinic LLC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.