MEMPHIS SOUTH DIALYSIS
NPI 1023071545
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Memphis, TN

Q: What is DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1023071545. It was assigned to this organization in the NPPES registry on April 7, 2006. The provider is doing business as Memphis South Dialysis.

Q: What is DVA Renal Healthcare Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Q: What quality rating does DVA Renal Healthcare Inc have?

CMS rates DaVita Memphis South Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since April 07, 2006CLIA 44D0998896 · Waiver

3/5

Overall Rating

1205 MARLIN RD, MEMPHIS, TN 38116(901) 346-6637(901) 346-7884 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2023, Jan 13, 2023, Dec 6, 2021 and 3 more (6 updates tracked since 2018).

On this page

About Memphis South Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMPHIS SOUTH DIALYSIS (NPI 1023071545) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Memphis, Tennessee and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Samuel T Wey, Sr Director Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1023071545

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDVA RENAL HEALTHCARE INC

Location Address1205 MARLIN RDMemphis, TN 38116-5812

Mailing Address5200 Virginia Way, L&c DepartmentBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961

Phone(901) 346-6637

Fax(901) 346-7884

Organization SubpartNo

Authorized OfficialSamuel T WeySr Director Licensure&certification · (615) 341-6641

Enumeration DateApril 7, 2006

Last NPPES UpdateOctober 5, 20236 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1023071545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

License✔ Licensed in TN · 136

1205 MARLIN RD, Memphis, TN 38116

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Other Names 1

Doing Business AsMemphis South Dialysis

Other Identifiers 6

Medicaid202575213MO

Medicaid202575213MD

Medicaid152749734AR

Medicaid05820307MS

Medicaid500431309MO

Medicaid0442649TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0998896

Memphis South Dialysis · Memphis, TN

Active · expires Apr 28, 2028

CLIA Number44D0998896

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateApril 29, 2026

Certificate Expiration DateApril 28, 2028

Laboratory DirectorNiloofar Baymiller

Laboratory Phone(781) 744-8023

Laboratory LocationMemphis South Dialysis1205 Marlin Road, Memphis, TN 38116

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Memphis South Dialysis (CMS certification number 442649), from CMS Care Compare.

DaVita Memphis South Dialysis

Dialysis facility · Memphis, TN

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number442649

ESRD NetworkNetwork 8

Hemodialysis Stations16

Medicare-Certified SinceJune 10, 2002

Location1205 MARLIN ROADMemphis, TN 38116 · Shelby County

Phone(901) 346-6637

Services Offered

In-center hemodialysis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1023071545. It was assigned to this organization in the NPPES registry on April 7, 2006. The provider is doing business as Memphis South Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 1205 Marlin Rd, Memphis, TN 38116. The listed phone number is (901) 346-6637.

What is DVA Renal Healthcare Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does DVA Renal Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0998896) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Renal Healthcare Inc a Medicare-certified dialysis facility?

Yes. DaVita Memphis South Dialysis is a Medicare-certified dialysis facility, certified since June 10, 2002.

What quality rating does DVA Renal Healthcare Inc have?

CMS rates DaVita Memphis South Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Renal Healthcare Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 9 other insurers list DVA Renal Healthcare Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for DVA Renal Healthcare Inc was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.