Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Isd Renal Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1710932090

Isd Renal Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jackson, Mississippi. Medicare rates this dialysis facility 2 out of 5. Registered with an NPI since 2006.

CMS rating
2 of 5
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

2 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 252535)

Practice location Address checks out

1015 I 20 Frontage Rd
Jackson, MS 39204-5807
Phone: (601) 373-9154
Fax: (601) 960-0749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1710932090
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Jackson South Dialysis; Jackson South Dialysis
NPI enumeratedMay 24, 2006
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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