MEMPHIS SOUTHEAST DIALYSIS
NPI 1699961680
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Memphis, TN

Active since September 24, 2007CLIA 44D1076146 · Waiver
2/5
Overall Rating
1805 MORIAH WOODS BLVD, STE 101, MEMPHIS, TN 38117(901) 685-3192(901) 685-3645 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2024, Aug 30, 2023, Feb 17, 2022 and 3 more (6 updates tracked since 2015).

About Memphis Southeast Dialysis NPPES

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

MEMPHIS SOUTHEAST DIALYSIS (NPI 1699961680) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Memphis, Tennessee and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through November 5, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1699961680
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address1805 MORIAH WOODS BLVD, STE 101Memphis, TN 38117-7121
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(901) 685-3645
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateSeptember 24, 2007
Last NPPES UpdateApril 18, 20246 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
NPI 1699961680 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 · 174
1805 MORIAH WOODS BLVD, Memphis, TN 38117

Other Names 1

Doing Business AsMemphis Southeast Dialysis

Other Identifiers 3

Medicaid0442674TN
Medicaid08770897MS
Medicaid176757134AR

Accepted 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 44D1076146

Memphis Southeast Dialysis · Memphis, TN
Active · expires Nov 5, 2027
CLIA Number44D1076146
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorJobby J. Kelley MD
Laboratory Phone(901) 850-0165
Laboratory LocationMemphis Southeast Dialysis1805 Moriah Woods Blvd Suite #1, Memphis, TN 38117
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 Southeast Dialysis (CMS certification number 442674), from CMS Care Compare.

DaVita Memphis Southeast Dialysis

Dialysis facility · Memphis, TN
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number442674
ESRD NetworkNetwork 8
Hemodialysis Stations24
Medicare-Certified SinceApril 7, 2008
Location1805 MORIAH WOODS BLVD STE 1Memphis, TN 38117 · Shelby County
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 Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1699961680. It was assigned to this organization in the NPPES registry on September 24, 2007. The provider is doing business as Memphis Southeast Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 1805 Moriah Woods Blvd Ste 101, Memphis, TN 38117. The listed phone number is (901) 685-3192.

What is Total Renal Care 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 Total Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1076146) is associated with this NPI, valid through November 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Memphis Southeast Dialysis is a Medicare-certified dialysis facility, certified since April 7, 2008.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita Memphis Southeast Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Total Renal Care 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 Total Renal Care 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 Total Renal Care Inc was last updated on April 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.