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

Southern Kidney Associates PLLC

Organization Nephrology Physician · NPI 1194292516

Southern Kidney Associates PLLC is a Nephrology Physician in Shreveport, Louisiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1815 E 70th St
Shreveport, LA 71105-5301
Phone: (800) 276-9017
Fax: (903) 234-9992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1194292516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Hagood — Practice Administrator · (903) 234-9992
NPI enumeratedOctober 24, 2018
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021
Mailing address3535 N Fourth St Ste 301, Longview, TX 75605-0037

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