Kin Hood MD and Willis-Knighton Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KIN HOOD MD AND WILLIS-KNIGHTON MEDICAL CENTER

Practice address

1025 Highway 80
Haughton, LA 71037-7425

Phone

(318) 949-2495

Fax

(318) 949-0249

NPI assigned

Jul 6, 2006

Organization subpart

No

Name

Greg J. Gavin

Title

Network Administrator

Phone

(318) 949-2495

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366474124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 HIGHWAY 80",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710377425",
            "telephone_number": "318-949-2495",
            "fax_number": "318-949-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 HIGHWAY 80",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710377425",
            "telephone_number": "318-949-2495",
            "fax_number": "318-949-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIN HOOD MD AND WILLIS-KNIGHTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "NETWORK ADMINISTRATOR",
        "authorized_official_telephone_number": "318-949-2495"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jackson
• Jamie Dawn Jett, RN BSN MBA
• Kenesha Joiner, PMHNP-BC
• Laura Katheryn Jones, PLPC
• Brooklyn Deas Josey, MCD, CCC-SLP
• Kelli King, LPC
• Jashonda Atkins Knighton
• Suzanne Prim Lancaster
• Rebecca Lange, LMT
• Thomas G. Latiolais, MD

• All providers in Haughton, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.