Active NPI
Southern Kidney Specialists - Gretna LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Gretna, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
- Last updated
- Aug 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Wright
- Title
- Vice President
- Phone
- (781) 676-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200612001940 | LA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 0244652618 | Practice locations: Gretna, LA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Southern Kidney Specialists - Gretna LLC
- Overall star rating
- Ownership
- Profit
- Certified
- May 18, 2016
- Medicare certification status
- Active
- Dialysis stations
- 17
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2105972 | Southern Kidney Specialists-Gretna, LLC | Certificate of waiver | Dec 7, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Luling, LA
- NPI 1548587876
-
- Family Nurse Practitioner
- Kenner, LA
- NPI 1992232045
-
- Medical Physician Assistant
- Luling, LA
- NPI 1861058752
-
- Nephrology Physician
- Metairie, LA
- NPI 1922448372
-
- Family Nurse Practitioner
- Gretna, LA
- NPI 1790334704
-
- Physician Assistant
- Terrytown, LA
- NPI 1114705225
-
- Nephrology Physician
- Mayaguez, PR
- NPI 1467938795
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1194357459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1800",
"city": "LULING",
"state": "LA",
"postal_code": "700701800",
"telephone_number": "504-722-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 BEHRMAN HWY",
"city": "GRETNA",
"state": "LA",
"postal_code": "700564550",
"telephone_number": "504-391-1041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN KIDNEY SPECIALISTS - GRETNA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-05",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "781-676-5200"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.