Diabetic Care Centers of Louisiana Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DIABETIC CARE CENTERS OF LOUISIANA INC

Doing business as

Diabetic Care Center

Practice address

7659 Gilbert St.
Suite D
Gilbert, LA 71336

Phone

(318) 657-1220

Fax

(318) 367-1376

NPI assigned

Jan 18, 2023

Last updated

Jun 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Shane Davidson

Title

Owner/Manager

Phone

(318) 512-1176

Specialties & licenses 1

Addresses

Other names 1

• Diabetic Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Joel Glen Eldridge, D.O.

  • Family Medicine Physician
  • Winnsboro, LA
  • NPI 1053365130
  Medicare reassignment Care Compare group NPD
• Ashley Wilson, FNP-C

  • Family Nurse Practitioner
  • Jonesville, LA
  • NPI 1750872701
  Medicare reassignment Care Compare group NPD
• Melissa Dawn Futrell, NP

  • Family Nurse Practitioner
  • West Monroe, LA
  • NPI 1366823809
  Medicare reassignment NPD
• Emily Morris, FNP-C

  • Family Nurse Practitioner
  • West Monroe, LA
  • NPI 1255884102
  Medicare reassignment NPD
• Ellen Stewart Murray, APRN

  • Family Nurse Practitioner
  • Monroe, LA
  • NPI 1003806225
  Medicare reassignment NPD
• Brittany R Basco, NP

  • Family Nurse Practitioner
  • Winnsboro, LA
  • NPI 1659997732
  Medicare reassignment
• Leigh Ann Chafton, FNP-BC

  • Family Nurse Practitioner
  • Natchez, MS
  • NPI 1497324818
  NPD

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1174238752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7659 GILBERT ST.",
            "address_2": "SUITE D",
            "city": "GILBERT",
            "state": "LA",
            "postal_code": "713363427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7659 GILBERT ST.",
            "address_2": "SUITE D",
            "city": "GILBERT",
            "state": "LA",
            "postal_code": "71336",
            "telephone_number": "318-657-1220",
            "fax_number": "318-367-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC CARE CENTERS OF LOUISIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "318-512-1176"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald L Englerth (Gilbert Drugs)
• Franklin Parish Hospital Service Dist 1 (Gilbert Health Center)
• Jessica Rodgers, MOT, LOTR
• Village Aesthetics LLC
• Village of Gilbert Pharmacy, LLC (Village Pharmacy)

• Internal Medicine Physician in Gilbert, LA
• Providers in Gilbert, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.

Verify at the official NPI Registry.