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LEWIS CREEK DIALYSIS
NPI 1619459682
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Dyersburg, TN

Active since September 05, 2018CLIA 44D2156601 · Waiver
3/5
Overall Rating
620 MALL BLVD, STE E, DYERSBURG, TN 38024(731) 287-9448(731) 287-9623 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Nov 23, 2022, Jan 14, 2022 and 4 more (7 updates tracked since 2018).

About Lewis Creek Dialysis NPPES

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

LEWIS CREEK DIALYSIS (NPI 1619459682) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Dyersburg, Tennessee and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1619459682
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameISD RENAL INC
Location Address620 MALL BLVD, STE EDyersburg, TN 38024-1649
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(731) 287-9448
Fax(731) 287-9623
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateSeptember 5, 2018
Last NPPES UpdateJanuary 14, 20257 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1619459682 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
620 MALL BLVD, Dyersburg, TN 38024
Open in Google Maps ↗

Other Names 1

Doing Business AsLewis Creek Dialysis

Other Identifiers 1

MedicaidQ049175TN

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 44D2156601

Isd Renal Inc Dba Lewis Creek Dialysis · Dyersburg, TN
Active · expires Oct 21, 2026
CLIA Number44D2156601
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorDr. Victor C. Nwazue
Laboratory Phone(731) 287-9448
Laboratory LocationIsd Renal Inc Dba Lewis Creek Dialysis620 Mall Blvd Suite E, Dyersburg, TN 38024
CLIA data matches this NPI record on: Address Name Phone
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 Lewis Creek Dialysis (CMS certification number 442754), from CMS Care Compare.

DaVita Lewis Creek Dialysis

Dialysis facility · Dyersburg, TN
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number442754
ESRD NetworkNetwork 8
Hemodialysis Stations13
Medicare-Certified SinceMay 1, 2019
Location620 MALL BLVD STE EDyersburg, TN 38024 · Dyer County
Phone(731) 287-9448
Services Offered
In-center hemodialysis Peritoneal dialysis

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN DAWN PRIEST PTA
Physical Therapy Assistant
620 MALL BLVD, SUITE B1
DYERSBURG, TN 38024
Dyer County (731) 285-5552
GINA R WELCH PT
Physical Therapist
620 MALL BLVD
DYERSBURG, TN 38024
Dyer County (731) 285-5552
ROSS E MALDONADO PT
Physical Therapist
620 MALL BLVD, B1
DYERSBURG, TN 38024
Dyer County (731) 285-5552
HENRY B WELLS DPT
Physical Therapist
620 MALL BLVD, SUITE B1
DYERSBURG, TN 38024
Dyer County (731) 285-5552

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 Isd Renal Inc's NPI number?

The NPI number for Isd Renal Inc is 1619459682. It was assigned to this organization in the NPPES registry on September 5, 2018. The provider is doing business as Lewis Creek Dialysis.

Where is Isd Renal Inc located?

Isd Renal Inc is located at 620 Mall Blvd Ste E, Dyersburg, TN 38024. The listed phone number is (731) 287-9448.

What is Isd Renal 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 Isd Renal Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2156601) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Isd Renal Inc a Medicare-certified dialysis facility?

Yes. DaVita Lewis Creek Dialysis is a Medicare-certified dialysis facility, certified since May 1, 2019.

What quality rating does Isd Renal Inc have?

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

What insurance does Isd Renal 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 3 other insurers list Isd Renal 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 Isd Renal Inc was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.