Stacy D Conville, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

026106 Issued in LA

Practice address

902 S Vienna St
Ruston, LA 71270-5830

Phone

(318) 551-4311

Fax

(318) 551-4355

NPI assigned

May 30, 2006

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

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adala Health, LLCGroup PAC ID 5799278362, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Adala Health, LLC

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1396616223
  Medicare reassignment Care Compare group NPD
• Louisiana Family Medicine Clinic 1

  • Clinic/Center
  • Jonesboro, LA
  • NPI 1548538200
  Medicare reassignment NPD

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1497702880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705830",
            "telephone_number": "318-551-4355",
            "fax_number": "318-551-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705830",
            "telephone_number": "318-551-4311",
            "fax_number": "318-551-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONVILLE",
        "first_name": "STACY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "026106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1052931",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Bridges West, Inc.
• Community Bridges West, Inc.
• Community Bridges West, Inc.
• Companion Home Medical Equipment LLC
• Considerate Care Counseling Center LLC
• Ashley Conzel, MS
• Shaterria Cooks
• Hillary Dawn Cooper, M.A., CCC-SLP
• Cornerstone Nemt LLC
• Mary Kate Cortez

• Family Medicine Physician in Ruston, LA
• Providers in Ruston, 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 Mar 2, 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.
• 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.