Premier Dialysis Service Tennessee LLC

Primary specialty

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

Legal business name

PREMIER DIALYSIS SERVICE TENNESSEE LLC

Practice address

11762 Douglass St Ste 103
Arlington, TN 38002-4489

Phone

(888) 543-6390

NPI assigned

Mar 8, 2022

Organization subpart

No

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

Authorized official

Name

Joshua Dipzinski, RN

Title

Managing Director

Phone

(888) 543-6390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Premier Dialysis Service TennesseeCCN 442775

Ownership

Profit

Certified

Oct 10, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muwaffaq Salameh, MD

  • Nephrology Physician
  • Bay City, MI
  • NPI 1851647390
  NPD (past)

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1558018655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 DOUGLASS ST STE 103",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024489",
            "telephone_number": "888-543-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIALYSIS SERVICE TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "DIPZINSKI",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "888-543-6390",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Elizabeth Perkins, FNP-BC (APRN)
• Lisa Phillips, DDS
• John Spencer Pickering, DDS
• Samuel Hingha Pieh II II, DPT, MBA, MPT
• Deidra Powell
• Amanda N Price, F.N.P.
• Kurt A Price, D.C.
• Primary Eyecare, PLC (Primary Eye Care of Arlington)
• Barry Pugh Jr.
• Erika Pugh

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arlington, TN
• Providers in Arlington, 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 4, 2024; 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.