Individual provider Active NPI

Gregory Phillips, M.D.

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
National Provider Identifier
1679784607
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
202632 Issued in LA
Practice address
2508 Bert Kouns Loop
Suite 201
Shreveport, LA 71118-3133
Phone
(318) 212-5790
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 202632 LA Primary

Addresses

Primary practice location

2508 Bert Kouns Loop
Suite 201
Shreveport, LA 71118-3133

Mailing address

2508 Bert Kouns Loop
Suite 201
Shreveport, LA 71118-3133
Phone (318) 212-5790

Other identifiers 1

IdentifierTypeStateIssuer
1078964MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100804000212 LA Practitioner - Obstetrics/Gynecology 0648303198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Womens Health ClinicGroup PAC ID 4981772175, 8 clinicians
Obhg Louisiana LLCGroup PAC ID 9234443250, 20 clinicians

Practice addresses (Care Compare)

2508 Bert Kouns Industrial Loop
Suite 201
Shreveport, LA 71118-3175
Phone (318) 212-5790

2510 Bert Kouns Industrial Loop
Shreveport, LA 71118-3119
Phone (800) 967-2289

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202632LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Louisiana, LLC Obstetrics & Gynecology CurrentSince Apr 1, 2025 Accepting new patients
WK Womens Health Clinic Obstetrics & Gynecology CurrentSince Aug 1, 2010 Accepting new patients
Women'S Health Center, Apmc Past Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients
DRS Hart Carter and Dean Apmc PastSince Jul 10, 2025 Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000

2508 Bert Kouns Industrial Loop
Ste 201
Shreveport, LA 71118
Phone (318) 212-5790

Interoperability endpoints

  • Direct secure messaging: gphillips@direct.wkhs.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1679784607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS LOOP",
            "address_2": "SUITE 201",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-212-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS LOOP",
            "address_2": "SUITE 201",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-212-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "202632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1078964",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.