Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Nephrology, LLC

Organization Nephrology Physician · NPI 1285881508

Genesis Nephrology, LLC is a Nephrology Physician in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1560 Irving Pl
Shreveport, LA 71101-4604
Phone: (318) 221-2707
Fax: (318) 221-2709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 023908 (LA)

Record details

NPI number1285881508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marisa Johnson — Physician · (318) 221-2707
NPI enumeratedAugust 19, 2008
Last updated in NPPESAugust 19, 2008
Mailing address1560 Irving Pl, Shreveport, LA 71101-4604

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