Southern Medical Services of Louisiana, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SOUTHERN MEDICAL SERVICES OF LOUISIANA, LLC

Practice address

1523 Texas Ave
Bastrop, LA 71220-4043

Phone

(318) 281-0078

Fax

(318) 281-2753

NPI assigned

Feb 26, 2014

Last updated

Feb 26, 2014By 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

Mr. Charles G Gladney

Title

Owner

Phone

(318) 281-0078

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 8

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.

• Kaitlyn Johnston

  • Family Nurse Practitioner
  • Bastrop, LA
  • NPI 1619518693
  Medicare reassignment Care Compare group NPD
• Lisa Allison-Graves Post, R.D./ M.D.

  • General Practice Physician
  • Bastrop, LA
  • NPI 1508848623
  Medicare reassignment Care Compare group NPD
• Ashley Cheek, APRN

  • Nurse Practitioner
  • Delhi, LA
  • NPI 1518525419
  Medicare reassignment NPD
• Jimmy R Coughran, MD

  • Family Medicine Physician
  • Winnsboro, LA
  • NPI 1568438323
  Medicare reassignment NPD
• Kelli May Drost, APRN, BC, FNP

  • Family Nurse Practitioner
  • Bastrop, LA
  • NPI 1487644712
  Medicare reassignment NPD
• Megan Petty Gimber, FNP

  • Family Nurse Practitioner
  • Monroe, LA
  • NPI 1114648268
  Medicare reassignment NPD
• Erin Hayden Griffin, RNFNP

  • Family Nurse Practitioner
  • Farmerville, LA
  • NPI 1255414181
  Medicare reassignment NPD
• Clinton Avery Netherland, M.D.

  • Family Medicine Physician
  • Smackover, AR
  • NPI 1235130444
  NPD (past)

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1225453335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 TEXAS AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204043",
            "telephone_number": "318-281-0078",
            "fax_number": "318-281-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 TEXAS AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204043",
            "telephone_number": "318-281-0078",
            "fax_number": "318-281-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL SERVICES OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "GLADNEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-281-0078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy C Smith, M.S., CCC-SLP
• James M. Smith, M.D.
• Lashandra Jene Smith, BSW
• Michael Smith
• Shawanda Smith
• Aliciah Kae Souza, B.S.
• Specialty Pharmacy Services Inc
• Yolanda Lafaye Starr, FNP-BC
• Angelica Staten, MS
• Stephenie R. Long, MD LLC

• Nurse Practitioner in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.