Springhill Medical Services, Inc.
Organization Active NPI Family Medicine Physician · Springhill, LA
NPI 1124092481 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1124092481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 441 (LA)
- Legal business name
- SPRINGHILL MEDICAL SERVICES, INC.
- Practice address
- 2001 Doctors Dr
Springhill, LA 71075-4526 - Phone
- (318) 539-1000
- Fax
- (318) 539-4085
- NPI assigned
- Feb 14, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SPRINGHILL MEDICAL SERVICES, INC.
Authorized official
- Name
- Michael G Patronis
- Title
- Chief Executive Officer
- Phone
- (318) 539-1001
Owned or controlled facilities with NPI records 7
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 5
Practitioners 37
-
Jagan Beedupalli, M.D.
-
Kristen P Dickinson, APRN
-
Rayla Fish May, LPC
-
Michelle Pardue, M.D.
-
April J Scott, FNP-C
-
Jerry Wayne Sessions, M.D.
-
Aubrey Clay Strange, APRN
-
Sonya Renee Thomas, APRN
-
Leamon Garrett Torrence, M.D.
-
Cynthia Denise Welch, PMHNP-BC
-
Kelly A Yerger, NP
-
Eugene Dunyo Chen, M.D.
-
Laura Margarita Hart, M.D.
-
Natisha Marie Purvis, LPC
-
Kenneth E Byrd Jr., CRNA
-
Vikram Chatrath, M.D.
-
Kenneth Lance Davenport, APRN
-
Manish Dhawan, MD
-
Jason T Horn, CRNA
-
George Keith King, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Springhill Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 17, 2000 |
| Springhill Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 17, 2000 |
| Springhill Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 17, 2000 |
| Louisiana Homecare / Springhill |
Home health agency | 5% Or Greater Direct Ownership Interest (33%) | Oct 1, 2018 |
| SMC Doctors Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Nov 17, 2000 |
| North Webster Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040224000371 | LA | Part B Supplier - Clinic/Group Practice | 6002728912 |
Receives reassigned benefits from 34 practitioners 1 other NPI on this enrollment Practice locations: Sarepta, LA; Springhill, LA |
National Provider Directory
- Part of
- Springhill Med SVC Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 441 | LA | Yes |
| Internal Medicine Physician |
207R00000X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Surgery Physician |
208600000X |
Addresses
Primary practice location
2001 Doctors Dr
Springhill, LA 71075-4526
Mailing address
2001 Doctors Dr
Springhill, LA 71075-4526
Phone (318) 539-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1441601 | Medicaid | LA |
Other names
- Springhill Medical Center Hospital Based Physicians
Other providers in Springhill, LA
- Stacy L Smith
- Edith Amanda Smyers
- Springhill Emergency Group LLC
- Springhill Family Pharmacy LLC
- Springhill Medical Services Inc
- Springhill Medical Services, Inc.
- Springhill Medical Services, Inc.
- Springhill Medical Services, Inc.
- Springhill Medical Services, Inc.
- Amy Stewart
All providers in Springhill, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.