Isd Renal Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

ISD RENAL INC

Doing business as

Poplar Avenue Dialysis

Practice address

1333 Poplar Ave
Memphis, TN 38104-2006

Phone

(901) 568-4465

NPI assigned

Dec 1, 2025

Last updated

Dec 1, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

DAVITA INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6691

Specialties & licenses 1

Addresses

Other names 1

• Poplar Avenue Dialysis Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Renal Care of Marion88 organizations share this tax ID, including this one

Part of

Davita Inc

Organizations with this tax ID in the same state 11

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Isd Renal Inc

  dba Foreman Drive Home Training

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cookeville, TN
  • NPI 1003390469
  NPD tax ID
• Isd Renal Inc

  dba Wolfchase Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1184586919
  NPD tax ID
• Isd Renal Inc

  dba Pace Road Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1386506145
  NPD tax ID
• Isd Renal Inc

  dba Renal Care of Memphis North

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1447206172
  NPD tax ID
• Isd Renal Inc

  dba Whitehaven Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1457307936
  NPD tax ID
• Isd Renal Inc

  dba Lewis Creek Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dyersburg, TN
  • NPI 1619459682
  NPD tax ID
• Isd Renal Inc

  dba Renal Care of Midtown Memphis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1649217738
  NPD tax ID
• Isd Renal Inc

  dba Chickasaw Gardens Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1659233492
  NPD tax ID
• Isd Renal Inc

  dba Quince Road Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1700748555
  NPD tax ID
• Isd Renal Inc

  dba Neely Road Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1841152600
  NPD tax ID
• Isd Renal, Inc

  dba Mt. Juliet Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mount Juliet, TN
  • NPI 1023461894
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1346102001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATTN LICENSURE & CERTIFICATION",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-946-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042006",
            "telephone_number": "901-568-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD RENAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVITA INC",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6691"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poplar Avenue Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan A Isaac, CRNA
• Laquenta Isaac, RRT
• Jessica Sarah Isbell-Blane, B.A.
• Isd Bartlett LLC (Bartlett Renal Center)
• Isd Renal Inc (Wolfchase Dialysis)
• Isd Renal Inc (Pace Road Dialysis)
• Isd Renal Inc (Renal Care of Memphis North)
• Isd Renal Inc (Whitehaven Renal Center)
• Isd Renal Inc (Memphis Graceland Renal Center)
• Isd Renal Inc (Renal Care of Midtown Memphis)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.