Organization · Type 2 NPI

Isd Renal Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jackson, MS

NPI number 1982659264 Active

Practice location

571 E Beasley Rd, Ste A
Jackson, MS 39206-3042

Call (601) 957-1999 Map

Fax (601) 956-3165

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

2 other providers at this address

Mississippi Vascular Center, PLLCNephrology Physician Jackson, MS NPI 1841602257
Matthews Florence Kirk, MSWClinical Social Worker Jackson, MS NPI 1174731590

Other end-stage renal disease (esrd) treatment clinic/center providers in Jackson

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NPI record

NPI: 1982659264
Entity type: Organization (Type 2)
Issued: May 24, 2006
Last updated: Aug 15, 2025
Status: Active

Other names

<unavail>
Jackson North Dialysis · doing business as
Jackson North Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982659264

Isd Renal Inc's National Provider Identifier is 1982659264, issued on May 24, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Jackson, MS. The record was last updated on Aug 15, 2025.