PHILIP KINNEBREW, MD AND WILLIS-KNIGHTON MEDICAL CENTER
NPI 1598700130
Family Medicine in Shreveport, LA

Q: What is Philip Kinnebrew, MD And Willis-Knighton Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: What quality rating does Philip Kinnebrew, MD And Willis-Knighton Medical Center have?

CMS rates Adira Medical Resort 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since June 18, 2006

1/5

Overall Rating

2508 BERT KOUNS LOOP, SUITE 102, SHREVEPORT, LA 71118(318) 688-6630(318) 688-6014 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Philip Kinnebrew, Md And Willis-knighton Medical Center NPPES

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

PHILIP KINNEBREW, MD AND WILLIS-KNIGHTON MEDICAL CENTER (NPI 1598700130) is a healthcare organization registered as a family medicine in Shreveport, Louisiana and active in the NPI registry since June 2006. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1598700130

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePHILIP KINNEBREW, MD AND WILLIS-KNIGHTON MEDICAL CENTER

Location Address2508 BERT KOUNS LOOP, SUITE 102Shreveport, LA 71118-3133

Mailing Address2508 Bert Kouns Loop, Suite 102Shreveport, LA 71118-3133 · (318) 688-6630 · Fax (318) 688-6014

Phone(318) 688-6630

Fax(318) 688-6014

Organization SubpartNo

Authorized OfficialGreg J. GavinNetwork Administrator · (318) 688-6630

Enumeration DateJune 18, 2006

Last NPPES UpdateOctober 2, 2007

✔ NPI 1598700130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2508 BERT KOUNS LOOP, Shreveport, LA 71118

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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

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Adira Medical Resort (CMS certification number 195247), from CMS Care Compare.

Adira Medical Resort

Nursing home · Bossier City, LA

1/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number195247

Certified Beds77 beds22 residents per day on average

Medicare & Medicaid Participant SinceJanuary 9, 1990

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

Long-Stay Quality

Quality of care delivered to long-term residents.

5/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

1/5

Staffing

Based on nursing staff hours relative to resident needs.

1/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

51.33

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 20

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

EDDIE D JOHNSON MD & WILLIS-KNIGHTON MEDICAL CENTER

Family Medicine

2508 BERT KOUNS LOOP, SUITE 102
SHREVEPORT, LA 71118

Caddo Parish (318) 671-1291

GAYLON DAIGLE M.D.

Obstetrics & Gynecology

2508 BERT KOUNS LOOP, SUITE 207
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5343

WK SHREVEPORT CENTER FOR GERIATRIC HEALTH

Psychiatry & Neurology (Geriatric Psychiatry)

2508 BERT KOUNS LOOP, SUITE 303
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5850

O ALLEN GERMAN MD

Obstetrics & Gynecology

2508 BERT KOUNS LOOP, SUITE 101
SHREVEPORT, LA 71118

Caddo Parish (318) 688-6090

WK WOMENS HEALTH CLINIC

Obstetrics & Gynecology

2508 BERT KOUNS LOOP, SUITE 201
SHREVEPORT, LA 71118

Caddo Parish (318) 688-8804

DR. CHARLES GODFRIED OTU-NYARKO M.D

Pediatrics (Pediatric Gastroenterology)

2508 BERT KOUNS LOOP, SUITE 101
SHREVEPORT, LA 71118

Caddo Parish (318) 212-5858

EDDIE D. JOHNSON MD

Family Medicine

2508 BERT KOUNS LOOP, SUITE 102
SHREVEPORT, LA 71118

Caddo Parish (318) 671-1291

KRISTY L. BRAUD MD

Family Medicine

2508 BERT KOUNS LOOP, SUITE 103
SHREVEPORT, LA 71118

Caddo Parish (318) 687-5277

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 Philip Kinnebrew, MD And Willis-Knighton Medical Center's NPI number?

The NPI number for Philip Kinnebrew, MD And Willis-Knighton Medical Center is 1598700130. It was assigned to this organization in the NPPES registry on June 18, 2006.

Where is Philip Kinnebrew, MD And Willis-Knighton Medical Center located?

Philip Kinnebrew, MD And Willis-Knighton Medical Center is located at 2508 Bert Kouns Loop Suite 102, Shreveport, LA 71118. The listed phone number is (318) 688-6630.

What is Philip Kinnebrew, MD And Willis-Knighton Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philip Kinnebrew, MD And Willis-Knighton Medical Center a Medicare-certified nursing home?

Yes. Adira Medical Resort is a Medicare-certified nursing home with 77 certified beds.

What quality rating does Philip Kinnebrew, MD And Willis-Knighton Medical Center have?

CMS rates Adira Medical Resort 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Philip Kinnebrew, MD And Willis-Knighton Medical Center was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.