John Caleist Soud, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS8420 Issued in FL

Practice address

9300 Mansfield Rd Ste 110
Shreveport, LA 71118-3137

Phone

(318) 629-3763

Fax

(318) 629-3767

NPI assigned

Jun 6, 2006

Last updated

Feb 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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 2

Specialty

Emergency Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Satilla Health Hospital, Waycross, GA, CCN 110003
• HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179

Merit-based Incentive Payment System (MIPS)

Final score

87.3 of 100Reported as group

Quality

70.94

Improvement activities

40

Cost

92.94

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555

  GA

  Medicare reassignment Care Compare group NPD
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650
  Medicare reassignment Care Compare group NPD
• Cep America, LLC

  • Emergency Medicine Physician
  • Miramar Beach, FL
  • NPI 1295442614
  Medicare reassignment NPD
• Velocity MD LLC

  dba Velocity Care

  • Urgent Care Clinic/Center
  • Shreveport, LA
  • NPI 1255680724
  Authorized official Same address or phone
• Prairieville General Hospital, LLC

  dba Prairieville Family Hospital

  • General Acute Care Hospital
  • Prairieville, LA
  • NPI 1750858387

  Emergency Medicine

  NPD
• Prairieville General Hospital, LLC

  • Diagnostic Radiology Physician
  • Prairieville, LA
  • NPI 1912611021
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Saint Johns, FL
  • NPI 1073200069
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Louisiana Em-1 Medical Services, PC

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1265688667
  NPD (past)
• Texas Trail Emergency Physicians LLC

  • Emergency Medicine Physician
  • Shreveport, LA
  • NPI 1902052301
  NPD (past)
• Florida Em-I Medical Services, PA

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1609296011
  NPD (past)
• Quality Primary Care P a

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1245525518
  NPD (past)

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

• Memorial Healthcare Group Inc

  dba HCA Florida Memorial Hospital

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1447206438
  Care Compare affiliation
• Southeast Georgia Health Services, L.L.C.

  dba Memorial Satilla Health

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1922530468
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1427097930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 MANSFIELD RD STE 110",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183137",
            "telephone_number": "318-629-3763",
            "fax_number": "318-629-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 MANSFIELD RD STE 110",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183137",
            "telephone_number": "318-629-3763",
            "fax_number": "318-629-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUD",
        "first_name": "JOHN",
        "middle_name": "CALEIST",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS8420",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "DO000012",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-7954",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1239488",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliot Sorrell, MD
• Donald Lynn Sorrells Jr., MD
• Kelli Sorrells, PHARM.D.
• Carolina Soto-Davila
• Kenya Leigh Soto, CCC SLP
• South Shreve Medical Supplies, Inc.
• South Shreveport Anesthesia
• South Shreveport Family Medicine, LLC
• South Shreveport Internal Medicine
• Southern Hills LLC (Southern Hills Healthcare & Rehabilitation)

• Emergency Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.