Kidney Health

Our nephrology team evaluates and manages kidney-related conditions including chronic kidney disease (CKD), acute kidney injury, electrolyte imbalances, hypertension related to kidney disease, and dialysis coordination. We work closely with your primary care provider and other specialists to make sure you receive comprehensive, connected care.

CKD is a gradual loss of kidney function that develops over time — often without noticeable symptoms in the early stages. Early detection through routine lab testing can help slow its progression and prevent serious complications. If you have diabetes or high blood pressure, regular kidney screening is especially important.

Common signs include swelling in the legs or face, fatigue, changes in urination, foamy urine, shortness of breath, or hard-to-control high blood pressure. However, many patients — especially those with early-stage CKD — have no symptoms at all. That's why routine screening at your annual physical is so important.

People with diabetes, high blood pressure, heart disease, obesity, or a family history of kidney disease are at increased risk. African American and Hispanic communities also face disproportionately higher rates of CKD and should consider regular screening — even without symptoms.

Kidney function is typically evaluated using blood tests such as creatinine and eGFR (estimated glomerular filtration rate), as well as a urine test to check for protein (albumin). These are usually part of standard annual lab work. Imaging studies or a kidney biopsy may also be ordered if further evaluation is needed.

In most cases, a referral from your primary care provider is required. We also recommend checking with your insurance plan for specific requirements before your appointment. If you have questions, our scheduling team can help — call 615-341-4383.

Yes. Our team coordinates dialysis care and works closely with dialysis centers to ensure continuity of care. We provide education about your treatment options — including hemodialysis and peritoneal dialysis — so you can make informed decisions about your care.

If kidney function declines significantly, your care team will walk you through all available options, which may include dialysis or referral for kidney transplant evaluation. We provide ongoing education and support to help you and your family understand each step of the process.

Key steps include controlling blood pressure and blood sugar, limiting salt, staying hydrated, avoiding overuse of NSAIDs (like ibuprofen), and keeping regular follow-up appointments. Your care team can work with you to build a plan that fits your life. The National Kidney Foundation also offers helpful patient resources at kidney.org.

We accept most major insurance plans, including Metro employee health plans. For questions about coverage, visit our Billing & Insurance page, or call 615-341-4968.

Call 615-341-4383 to schedule, reschedule, or cancel a kidney health appointment. We ask for at least 24 hours' notice whenever possible. You can also manage your care and view lab results through the HealtheLife Patient Portal.

Please bring a photo ID, your insurance card, a list of all current medications and supplements, and any recent lab results or records from your primary care provider. Arriving 15 minutes early will give you time to complete any necessary paperwork.