GPN-Leesville, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GPN-LEESVILLE, LLC

Practice address

1020 W Fertitta Blvd
Leesville, LA 71446

Phone

(337) 239-9041

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Chris Beddoe

Title

Ceo

Phone

(318) 256-5691

Specialties & licenses 6

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khaled Mustafa Ghorab, MD

  • Surgery Physician
  • Leesville, LA
  • NPI 1548394414
  NPD (past)
• Sylwia Gabriela Hatley, MD

  • Urology Physician
  • Leesville, LA
  • NPI 1730055310
  NPD (past)
• John Russell Mercke Jr., MD

  • Family Medicine Physician
  • Leesville, LA
  • NPI 1821594763
  NPD (past)
• Sarah Beshay

  • Pulmonary Disease Physician
  • Houston, TX
  • NPI 1386028280

  Internal Medicine

  NPD (past)
• Nkechinyere Christina Nwoko, D.P.M

  • Primary Podiatric Medicine Podiatrist
  • Natchez, MS
  • NPI 1336594985
  NPD (past)

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1366929432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722345",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730708774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W FERTITTA BLVD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "71446",
            "telephone_number": "337-239-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 N Pine St",
            "address_purpose": "LOCATION",
            "city": "Deridder",
            "state": "LA",
            "postal_code": "706343905",
            "country_code": "US",
            "telephone_number": "337-462-6471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "929 Verone Ter",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464255",
            "country_code": "US",
            "telephone_number": "337-392-9472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Deridder",
            "state": "LA",
            "postal_code": "706344840",
            "country_code": "US",
            "telephone_number": "337-462-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Deridder",
            "state": "LA",
            "postal_code": "706345505",
            "country_code": "US",
            "telephone_number": "337-239-0989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Many",
            "state": "LA",
            "postal_code": "714493717",
            "country_code": "US",
            "telephone_number": "337-238-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 Verone Ter",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464255",
            "country_code": "US",
            "telephone_number": "337-238-1049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464719",
            "country_code": "US",
            "telephone_number": "337-238-0620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464482",
            "country_code": "US",
            "telephone_number": "337-239-0989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1017 W Fertitta Blvd",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464646",
            "country_code": "US",
            "telephone_number": "337-392-9524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W Fertitta Blvd",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464637",
            "country_code": "US",
            "telephone_number": "337-392-9438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18570 Johnny B. Hall Hwy",
            "address_purpose": "LOCATION",
            "city": "Rosepine",
            "state": "LA",
            "postal_code": "70659",
            "country_code": "US",
            "telephone_number": "337-462-1913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GPN-LEESVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "BEDDOE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-256-5691"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen D. Hurlston, M.D., Apmc
• Rebecca Godfrey
• Celeste E Goins, LOTR
• GPN-Leesville, LLC
• GPN-Leesville, LLC
• Karah Graham
• Shawn Patrick Granger, M.D.
• Great River Orthopedic and Sports Medicine Center, Inc.
• Great South Management LLC
• Erika Ashlyn Greco

• Family Medicine Physician in Leesville, LA
• Providers in Leesville, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.