GENESIS NEPHROLOGY, LLC
NPI 1285881508
Internal Medicine - Nephrology in Shreveport, LA

Q: What is Genesis Nephrology, LLC's NPI number?

The NPI number for Genesis Nephrology, LLC is 1285881508. It was assigned to this organization in the NPPES registry on August 19, 2008.

Q: What is Genesis Nephrology, LLC's specialty?

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

Active since August 19, 2008

1560 IRVING PL, SHREVEPORT, LA 71101(318) 221-2707(318) 221-2709 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Genesis Nephrology, Llc NPPES

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

GENESIS NEPHROLOGY, LLC (NPI 1285881508) is a healthcare organization registered as a nephrology in Shreveport, Louisiana and active in the NPI registry since August 2008. The organization lists Marisa Turner Johnson, Physician, as its authorized official.

NPPES Registry Identity

NPI1285881508

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameGENESIS NEPHROLOGY, LLC

Location Address1560 IRVING PLShreveport, LA 71101-4604

Mailing Address1560 Irving PlShreveport, LA 71101-4604 · (318) 221-2707 · Fax (318) 221-2709

Phone(318) 221-2707

Fax(318) 221-2709

Organization SubpartNo

Authorized OfficialMarisa Turner JohnsonPhysician · (318) 221-2707

Enumeration DateAugust 19, 2008

✔ NPI 1285881508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in LA · 023908

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.

1560 IRVING PL, Shreveport, LA 71101

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Other Identifiers 1

Medicare UPINH46621LA

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

Other Providers at the Same Location NPPES 7

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

DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT, LLC

Clinic/Center

1560 IRVING PL, SUITE 501
SHREVEPORT, LA 71101

Caddo Parish (318) 212-1194

WILLIAM LEE GIBSON JR. MD

Family Medicine