Southern Kidney Specialists - Gretna LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Gretna, LA
NPI 1194357459 · NPPES record last updated Aug 28, 2026
Key facts
- NPI
- 1194357459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- SOUTHERN KIDNEY SPECIALISTS - GRETNA LLC
- Practice address
- 959 Behrman Hwy
Gretna, LA 70056-4550 - Phone
- (504) 391-1041
- NPI assigned
- Feb 5, 2020
- Organization subpart
- No
Authorized official
- Name
- Denise Wright
- Title
- Vice President
- Phone
- (781) 676-5200
Practitioners 7
-
Kimberly Fremin, MD
-
Jenna Surmik Clouatre, FNP-C
-
Christina Daigle, MPAS, MLA
-
Bronwyn Leblanc, MD
-
Gabrielle Marie Weyer, APRN
-
Emily Lauren Wiggins, PA-C
Affiliated clinicians 2
-
Kimberly Fremin, MD
Medicare Care Compare: Dialysis facility
- Listed as
- Southern Kidney Specialists - Gretna LLC
- Overall star rating
- ★★☆☆☆ 2.0 of 5
- Ownership
- Profit
- Certified
- May 18, 2016
- Medicare certification status
- Active
- Dialysis stations
- 17
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2105972 | Southern Kidney Specialists-Gretna, LLC | Certificate of waiver | Dec 7, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200612001940 | LA | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 0244652618 | Practice locations: Gretna, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
959 Behrman Hwy
Gretna, LA 70056-4550
Mailing address
PO Box 1800
Luling, LA 70070-1800
Phone (504) 722-9086
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Gretna, LA
- Magaly Rendon Sotres
- Southern Care Services LLC
- Southern Care Services LLC
- Southern Care Services LLC
- Southern Discount Hearing AIDS, Inc.
- Sparks Therapeutic Insights, LLC
- Specialized Therapies for Autism and Related Services
- Lakeshia Speed
- Spinecare Medical Group
- Jeannie Spracklen
All providers in Gretna, LA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.