Primecare Direct LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

PRIMECARE DIRECT LLC

Practice address

955 Pierremont Rd Ste 400
Shreveport, LA 71106-2096

Phone

(318) 562-3868

Fax

(318) 409-1565

NPI assigned

Jun 26, 2025

Organization subpart

No

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

Authorized official

Name

Tri Pham, MDNPI 1952628802

Title

Owner

Phone

(318) 617-6708

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tri Pham, MD

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1952628802
  Medicare reassignment Care Compare group NPD Authorized official
• Faraz F Alwani, M.D.

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1104352921
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1538057567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 PIERREMONT RD STE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062096",
            "telephone_number": "318-562-3868",
            "fax_number": "318-409-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 PIERREMONT RD STE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062096",
            "telephone_number": "318-562-3868",
            "fax_number": "318-409-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-617-6708",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Source Medical Services, Inc
• Jennifer Prime, MD
• Jeremy Paul Prime, CRNA
• Jill Richie Prime, CRNA
• Brian C Primeaux
• Primemed Transit LLC
• Lyishstron Pringle
• Michael I Prior, MD
• Glenda L Pritchett, EDS LPC LMFT
• PRN Health Services, PC

• Geriatric Medicine (Family Medicine) Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Geriatric Medicine (Family Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.