Individual provider Active NPI

Erin McCormick Gullatt, M.D.

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
National Provider Identifier
1386061265
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
308143 Issued in LA
Practice address
8001 Youree Dr Ste 600
Shreveport, LA 71115-2345
Phone
(318) 212-3890
NPI assigned
Mar 28, 2014
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X 308143 LA Primary

Addresses

Primary practice location

8001 Youree Dr Ste 600
Shreveport, LA 71115-2345

Mailing address

8001 Youree Dr Ste 600
Shreveport, LA 71115-2345
Phone (318) 212-3890

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

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
I20180703000243 LA Practitioner - Obstetrics/Gynecology 3870712185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Pierremont OB-GYN SpecialistsGroup PAC ID 9739188285, 6 clinicians

Practice addresses (Care Compare)

8001 Youree Dr
Suite 600
Shreveport, LA 71115-2345
Phone (318) 212-3890

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WK Pierremont OB-GYN Specialists Obstetrics & Gynecology CurrentSince Nov 24, 2020 Accepting new patients
Woman's Clinic of Monroe, AMC Obstetrics & Gynecology CurrentSince Jul 16, 2018 Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients

Locations

312 Grammont St
Ste 300
Monroe, LA 71201
Phone (318) 388-4030

8001 Youree Dr
Ste 600
Shreveport, LA 71115
Phone (318) 212-3890

2600 N 7th St
Ste 504
West Monroe, LA 71291

Interoperability endpoints

  • Direct secure messaging: egullatt@direct.wkhs.com

Organizations & group practices 3

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

Hospital & facility affiliations 5

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1386061265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 600",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152345",
            "telephone_number": "318-212-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 600",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152345",
            "telephone_number": "318-212-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLATT",
        "first_name": "ERIN",
        "middle_name": "MCCORMICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "308143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.