Individual provider Active NPI

Douglas Clayton Sawyer, MD

  • General Practice Physician
  • Mansfield, LA
National Provider Identifier
1376577304
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD.025688 Issued in LA
Practice address
119 Jefferson St
Mansfield, LA 71052
Phone
(318) 872-5810
Fax
(318) 872-2763
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 025688 LA
General Practice Physician 208D00000X MD.025688 LA Primary

Addresses

Primary practice location

119 Jefferson St
Mansfield, LA 71052

Mailing address

130 Jefferson St
Mansfield, LA 71052-2602
Phone (318) 872-2700

Other identifiers 1

IdentifierTypeStateIssuer
1041696MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000464 LA Practitioner - General PracticePractitioner - General SurgeryPractitioner - Emergency MedicinePractitioner - Other (Physician) 2668450875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Louisiana State University School of Medicine in Shreveport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desoto Regional Family MedicineGroup PAC ID 7719970599, 8 clinicians

Practice addresses (Care Compare)

130 Jefferson St
Mansfield, LA 71052-2602
Phone (318) 872-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025688LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Urgent Care, LLC General Practice CurrentSince Dec 1, 2016 Accepting new patients
Desoto Hospital Association CurrentSince Sep 18, 2012 Accepting new patients
Desoto Regional Family Medicine CurrentSince Sep 18, 2012 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Jun 20, 2010 Accepting new patients
Ess Hospitalist LLC CurrentSince May 21, 2014 Accepting new patients
Desoto Physicians & Surgeons Clinic Surgery Past Accepting new patients
Desoto Hospital Association Past Accepting new patients

Locations

2762 Continental Dr
Ste 201
Baton Rouge, LA 70808

5314 Airline Dr
Bossier City, LA 71111
Phone (318) 678-5272

1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503

130 Jefferson St
Mansfield, LA 71052
Phone (318) 872-2700

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

240 Highland Dr
Many, LA 71449
Phone (318) 256-5691

254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181

1009 S Service Rd W
Ruston, LA 71270
Phone (318) 242-1440

Interoperability endpoints

  • Direct secure messaging: douglas.sawyer@drfmc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEDHAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Superior Hospice of Northwest Louisiana, LLCMansfield, LA, CCN 191664 Hospice 5% Or Greater Direct Ownership Interest (5%) Feb 26, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1376577304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522602",
            "telephone_number": "318-872-2700",
            "fax_number": "318-872-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "71052",
            "telephone_number": "318-872-5810",
            "fax_number": "318-872-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "DOUGLAS",
        "middle_name": "CLAYTON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "025688",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD.025688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041696",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, LA

Sources for this page

Verify at the official NPI Registry.