NPIMap

Organization Active NPI

Wound Care Contractors, LLC

  • Family Medicine Physician
  • Benton, LA
National Provider Identifier
1548818735
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WOUND CARE CONTRACTORS, LLC
Practice address
2201 W Hartline
Benton, LA 71006-8754
Phone
(318) 588-4726
Fax
(318) 900-7828
NPI assigned
Aug 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Kirk Grantham, MDNPI 1023241403
Title
Owner
Phone
(318) 286-2781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2201 W Hartline
Benton, LA 71006-8754

Mailing address

2201 W Hartline
Benton, LA 71006-8754
Phone (318) 588-4726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200106000906 LA Part B Supplier - Clinic/Group Practice 5991139644 Receives reassigned benefits from 5 practitioners
Practice locations: Benton, LA; Bossier City, LA; Shreveport, LA

National Provider Directory

National Provider Directory

Locations

2550 Kings Hwy
Ste 2
Shreveport, LA 71103

1453 E Bert Kouns Industrial Loop
#L
Shreveport, LA 71105

8001 Youree Dr
Ste 8
Shreveport, LA 71115

1700 Irving Pl
Ste 100
Shreveport, LA 71101

8001 Youree Dr
#8
Shreveport, LA 71115

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1548818735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W HARTLINE",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710068754",
            "telephone_number": "318-588-4726",
            "fax_number": "318-900-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W HARTLINE",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710068754",
            "telephone_number": "318-588-4726",
            "fax_number": "318-900-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE CONTRACTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "GRANTHAM",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-286-2781",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.