Louviere Enterprises, Inc.

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

LOUVIERE ENTERPRISES, INC.

Doing business as

Mid South Sleep Disorders Clinic

Practice address

386 Carriage House Dr Ste D
Jackson, TN 38305

Phone

(731) 664-8874

Fax

(731) 664-8932

NPI assigned

Apr 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kelia C Ingram

Title

Owner President

Phone

(731) 664-8874

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mid South Sleep Disorders Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TN3 enrollments

Enrollment records 3

Locations

Practitioners 1

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.

• Amado X Freire, MD

  • Pulmonary Disease Physician
  • Memphis, TN
  • NPI 1447217401
  Medicare reassignment

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1144284662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 CARRIAGE HOUSE DR STE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052236",
            "telephone_number": "731-664-8874",
            "fax_number": "731-664-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 CARRIAGE HOUSE DR STE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-664-8874",
            "fax_number": "731-664-8932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 US Highway 45 N Ste F",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TN",
            "postal_code": "383404003",
            "country_code": "US",
            "telephone_number": "731-664-8874",
            "fax_number": "731-664-8932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 Poplar Ave Ste 132D",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381374000",
            "country_code": "US",
            "telephone_number": "731-664-8874",
            "fax_number": "731-664-8932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOUVIERE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "KELIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "731-664-8874",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4218325",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid South Sleep Disorders Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid South Sleep Disorders Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina Lashelle Long
• Matt Long, B.A.
• Matthew S Long, CRNA
• Lucy Marie Longmire, LPN CERTIFICATION
• Majorie A Looney, CRNA
• Cierra Love Qawwi, RBT
• Gary Wayne Lovejoy, M.S.
• Ava Elizabeth Lovelace, NP
• Kimberly Lovelady, LMSW
• William R Lovelady

• Sleep Medicine (Internal Medicine) Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Sleep Medicine (Internal Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.