Active NPI
Isd Renal Inc
Doing business as Neely Road Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- ISD RENAL INC
- Doing business as
- Neely Road Dialysis
- Practice address
- 4711 Neely Rd
Memphis, TN 38109-8550 - Phone
- (901) 568-4465
- NPI assigned
- Dec 1, 2025
- Last updated
- Dec 1, 2025
- Organization subpart
- Yes
- Parent organization
- DAVITA INC
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
4711 Neely Rd
Memphis, TN 38109-8550
Mailing address
5200 Virginia Way
Attn Licensure & Certification
Brentwood, TN 37027-7569
Phone (615) 946-1361
Other names 1
- Neely Road Dialysis
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2065222 | Isd Renal Inc | Certificate of waiver | Sep 4, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Renal Care of Marion
- 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.
-
dba Foreman Drive Home Training
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cookeville, TN
- NPI 1003390469
-
dba Wolfchase Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1184586919
-
dba Poplar Avenue Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1346102001
-
dba Pace Road Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1386506145
-
dba Renal Care of Memphis North
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1447206172
-
dba Whitehaven Renal Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1457307936
-
dba Lewis Creek Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Dyersburg, TN
- NPI 1619459682
-
dba Renal Care of Midtown Memphis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1649217738
-
dba Chickasaw Gardens Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1659233492
-
dba Quince Road Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1700748555
-
dba Mt. Juliet Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mount Juliet, TN
- NPI 1023461894
NPI Registry JSON
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": "1841152600",
"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": "4711 NEELY RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381098550",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Neely Road Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
- Isd Renal Inc (Memphis Graceland Renal Center)
- Isd Renal Inc (Renal Care of Midtown Memphis)
- Isd Renal Inc (Chickasaw Gardens Dialysis)
- Isd Renal Inc (Renal Care of Central Memphis)
- Isd Renal Inc (Quince Road Dialysis)
- Rena H Isen, PSY.D.
- Christopher Isennock
- Iserion (Iserion Health Care)
- Tracy R Ishmael, BA
- Mohammad Safiqul Islam
Sources for this page
- 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.