Skylar Amanda Souyoul, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

302310 Issued in LA

Practice address

8525 Line Ave
Shreveport, LA 71106-6105

Phone

(318) 708-9408

NPI assigned

Mar 26, 2013

Last updated

Jul 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 31, 2022 through Mar 31, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Sas Consulting, LLC

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1770437436
  NPD Authorized official
• Mary L. Puissegur Lupo

  dba Lupo Center for Aesthetic & General Dermatology

  • Dermatology Physician
  • New Orleans, LA
  • NPI 1346449949
  NPD (past)
• Pennington Facial Plastics, LLC

  • Facial Plastic Surgery Physician
  • Shreveport, LA
  • NPI 1619405404
  NPD (past)

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1407198690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066105",
            "telephone_number": "318-708-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066105",
            "telephone_number": "318-708-9408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Tech Dr",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712700701",
            "country_code": "US",
            "telephone_number": "318-708-9408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUYOUL",
        "first_name": "SKYLAR",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "302310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ninta Southichack
• Southland Home Health Services, Inc.
• Southside Chiropractic Clinic LLC
• Southside Foot Clinic of Shreveport Inc a Professional Corporation (The Foot Surgery Center of Shreveport)
• Southside Foot Clinic of Shreveport, Inc. a Professional Corporation (Southside Foot Clinic)
• Kevin Thomas Sowell, PHYSICAL THERAPIST
• Alison Smith Spann, MD
• Marilyn Sparks
• Shanice S Sparks
• Stacey D Sparks, MD

• Dermatology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.