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

Dr. Kendrick Dewayne Johnson, MD

Individual provider Neurological Surgery Physician · NPI 1790122141

Dr. Kendrick Dewayne Johnson, MD is a Neurosurgery in New Orleans, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2013, 13 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Louisiana.

Years since qualifying
13
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
IL, LA
In the registry since
2013
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

1430 Tulane Ave # 8047
New Orleans, LA 70112-2632
Phone: (504) 988-3524
Fax: (504) 988-7846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 — (985) 345-2700

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 330499 (LA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 125.063144 (IL)

Record details

NPI number1790122141
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 24, 2013
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2013 (13 years in practice)
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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