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SOUTHERN KIDNEY ASSOCIATES PLLC
NPI 1194292516
Internal Medicine - Nephrology in Shreveport, LA

Active since October 24, 2018
1815 E 70TH ST, SHREVEPORT, LA 71105(800) 276-9017(903) 234-9992 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2021, Dec 7, 2018, Oct 24, 2018 (3 updates tracked since 2018).

About Southern Kidney Associates Pllc NPPES

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

SOUTHERN KIDNEY ASSOCIATES PLLC (NPI 1194292516) is a healthcare organization registered as a nephrology in Shreveport, Louisiana and active in the NPI registry since October 2018. The organization lists Tiffany Hagood, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1194292516
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHERN KIDNEY ASSOCIATES PLLC
Location Address1815 E 70TH STShreveport, LA 71105-5301
Mailing Address3535 N Fourth St Ste 301Longview, TX 75605-0037 · (800) 276-9017 · Fax (903) 234-8287
Phone(800) 276-9017
Fax(903) 234-9992
Organization SubpartNo
Authorized OfficialTiffany HagoodPractice Administrator · (903) 234-9992
Enumeration DateOctober 24, 2018
Last NPPES UpdateOctober 6, 20213 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
✔ NPI 1194292516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1815 E 70TH ST, Shreveport, LA 71105
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Other Providers at the Same Location NPPES 3

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

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1815 E 70TH ST
SHREVEPORT, LA 71105
Caddo Parish (318) 797-7940
TODD CAMPBELL PA-C
Physician Assistant
1815 E 70TH ST
SHREVEPORT, LA 71105
Caddo Parish (903) 234-9992
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1815 E 70TH ST
SHREVEPORT, LA 71105
Caddo Parish (615) 341-5894

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 Southern Kidney Associates PLLC's NPI number?

The NPI number for Southern Kidney Associates PLLC is 1194292516. It was assigned to this organization in the NPPES registry on October 24, 2018.

Where is Southern Kidney Associates PLLC located?

Southern Kidney Associates PLLC is located at 1815 E 70th St, Shreveport, LA 71105. The listed phone number is (800) 276-9017.

What is Southern Kidney Associates PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does Southern Kidney Associates PLLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Southern Kidney Associates PLLC 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 Southern Kidney Associates PLLC was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.