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DR. EDDIE GLEN JOHNSON III M.D.
NPI 1962738500
General Practice in Shreveport, LA

Active since November 01, 2009
7330 FERN AVE STE 1103, SHREVEPORT, LA 71105(318) 798-0635 Get Directions Write a Review

NPPES record last updated: November 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eddie Glen Johnson Iii M.d. NPPES

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

DR. EDDIE GLEN JOHNSON III M.D. (NPI 1962738500) is an individual general practice provider in Shreveport, Louisiana, licensed in Louisiana (013312) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1962738500
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. EDDIE GLEN JOHNSON IIICredential: M.D.
Location Address7330 FERN AVE STE 1103Shreveport, LA 71105-4989
Mailing Address107 Grayson CirBossier City, LA 71112-8605 · (318) 458-2756
Phone(318) 798-0635
Sole ProprietorYes
Enumeration DateNovember 1, 2009
✔ NPI 1962738500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in LA · 013312
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7330 FERN AVE STE 1103, Shreveport, LA 71105
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Other Providers at the Same Location NPPES 6

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

SARA KATE WARREN, CCC-SLP, LLC
Speech-Language Pathologist
7330 FERN AVE STE 1103
SHREVEPORT, LA 71105
Caddo Parish (318) 265-1991
ARKLATEX ABA, LLC
Behavior Analyst
7330 FERN AVE STE 1103
SHREVEPORT, LA 71105
Caddo Parish (318) 264-8818
SAMANTHA JOUGLARD LEGG BCBA
Behavior Analyst
7330 FERN AVE STE 1103
SHREVEPORT, LA 71105
Caddo Parish (318) 264-8188
MORGAN MEEKS
Behavior Technician
7330 FERN AVE STE 1103
SHREVEPORT, LA 71105
Caddo Parish (318) 606-5706
ELLIE KATE WOOTEN
Behavior Technician
7330 FERN AVE STE 1103
SHREVEPORT, LA 71105
Caddo Parish (318) 606-5706
MIKAILAH SMITH
Behavior Analyst
7330 FERN AVE STE 1103
SHREVEPORT, LA 71105
Caddo Parish (318) 606-5706

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 Eddie Johnson's NPI number?

The NPI number for Eddie Johnson is 1962738500. It was assigned to this individual provider in the NPPES registry on November 1, 2009.

Where is Eddie Johnson located?

Eddie Johnson practices at 7330 Fern Ave Ste 1103, Shreveport, LA 71105. The listed phone number is (318) 798-0635.

What is Eddie Johnson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Eddie Johnson was last updated on November 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.