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

Individual provider Neurology Physician · NPI 1417278458

Dr. Jayson Divino Rodriguez, MD is a Neurology in Shreveport, Louisiana. Qualified in 2001, 25 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group and accepts Medicare assignment. Licensed in Louisiana and South Carolina.

Years since qualifying
25
Licensed in
LA, SC
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 301146 (LA)
Neurology Physician Taxonomy 2084N0400X · Licence LL32639 (SC)

Record details

NPI number1417278458
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2010
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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