Isd Renal Inc

Primary specialty

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

Legal business name

ISD RENAL INC

Doing business as

Renal Care of Lexington

Practice address

22579 Depot St
Lexington, MS 39095-7339

Phone

(662) 834-3355

Fax

(662) 834-3587

NPI assigned

May 25, 2006

Last updated

Jun 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Renal Care of Lexington Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

DaVita Renal Care of LexingtonCCN 252539

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Sep 17, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

22

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

Organizations with this tax ID in the same state 5

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

• Isd Renal Inc

  dba Canton Renal Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, MS
  • NPI 1083669089
  NPD tax ID
• Isd Renal Inc

  dba Jackson Southwest Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jackson, MS
  • NPI 1104871573
  NPD tax ID
• Isd Renal Inc

  dba Jackson South Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jackson, MS
  • NPI 1710932090
  NPD tax ID
• Isd Renal Inc

  dba Renal Care of Carthage

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Carthage, MS
  • NPI 1912952110
  NPD tax ID
• Isd Renal Inc

  dba Jackson North Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jackson, MS
  • NPI 1982659264
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Dva Healthcare Renal Care Inc

  dba Amelia Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Amelia Court House, VA
  • NPI 1861456113

  Member Of

  NPD member
• Dva Renal Healthcare Inc

  dba Florissant Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Louis, MO
  • NPI 1740241454

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Canon Jade Beissel, MD

  • Nephrology Physician
  • Grenada, MS
  • NPI 1154483394

  Dialysis facility

  Care Compare affiliation Name & address match
• Babatunde Olutade, MD

  • Nephrology Physician
  • Jackson, MS
  • NPI 1316050750

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1386690956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22579 DEPOT ST",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390957339",
            "telephone_number": "662-834-3355",
            "fax_number": "662-834-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD RENAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220364",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renal Care of Lexington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renal Care of Lexington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hometown Family Care, LLC
• Charles D Howard, DMD
• Internal Medicine Clinic of Lexington, Inc
• Intervene Diabetic Center LLC
• Interventional Diabetes Center, LLC
• Whitney Ivey
• Jackson Metro Dental LLC
• Jitney Pharmacies Incorporated
• John D. Whitehead (Lexington Medical Supply, LLC)
• Amy Chapman Johnson, FNP-BC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lexington, MS
• Providers in Lexington, MS by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.