Individual provider Active NPI

William Stansbury

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1073257945
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
342086 Issued in LA
Practice address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone
(318) 334-9045
NPI assigned
Apr 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 342086 LA Primary

Addresses

Primary practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1501 Kings Hwy
Shreveport, LA 71103-4228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241030004561 LA Practitioner - Family Practice 9638602535 Reassigns benefits to 2 organizations
I20250616000940 MS Practitioner - Family Practice 9638602535 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Staffing Solutions Inc 57 clinicians
Relias Emergency Medicine Specialists of Tupelo LLC 39 clinicians

Practice addresses (Care Compare)

254 Hwy 3048
Rayville, LA 71269-3624
Phone (318) 728-4181

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000

Hospital & facility affiliations

  • Richardson Medical Center Hospital, Rayville, LA, CCN 190151
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Emergency Medicine Specialists of Amory, LLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC Single Specialty CurrentSince Jan 11, 2026 Accepting new patients
Emergency Staffing Solutions Inc Single Specialty CurrentSince Aug 20, 2024 Accepting new patients
Oakdale Ess LLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Relias Hospitalist Medicine Specialists of Amory LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Relias Hospitalist Medicine Specialists of West Point LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
North Mississippi Medical Center Current Accepting new patients

Locations

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: williamstansbury@nmhs.medalliesdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1073257945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-334-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBURY",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "342086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.