Bayou Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BAYOU DERMATOLOGY LLC

Practice address

911 Tech Dr
Ruston, LA 71270-0701

Phone

(318) 265-6376

Fax

(318) 265-6377

NPI assigned

Nov 20, 2025

Last updated

Nov 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Mandrell, MDNPI 1770781650

Title

Owner/MD

Phone

(318) 265-6376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Caleb Mandrell, M.D.

  • Dermatology Physician
  • Ruston, LA
  • NPI 1770781650
  Medicare reassignment Care Compare group NPD Authorized official
• Linzie L Hebert, PA-C

  • Medical Physician Assistant
  • Ruston, LA
  • NPI 1467635383
  Medicare reassignment Care Compare group NPD
• Tiffany Armond Parker, PA

  • Physician Assistant
  • Minden, LA
  • NPI 1497937197
  Medicare reassignment Care Compare group NPD
• Garrett Price Soileau, PA-C

  • Physician Assistant
  • Ruston, LA
  • NPI 1992465488
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1699636571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 TECH DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712700701",
            "telephone_number": "318-265-6376",
            "fax_number": "318-265-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 TECH DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712700701",
            "telephone_number": "318-265-6376",
            "fax_number": "318-265-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "MANDRELL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "318-265-6376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer W Banks, N.P.
• Kristina D Barber, NP
• Anna Fuller Barbiero, O.D.
• Haylei Bass, BSW
• Tiffany Bates, PH.D.
• Bayou Pathology, Apmc & N. Smith, MD, LLP
• Arnesha Beard
• Laticia Chemeare Beaudoin, NP
• James Michael Belue, M.D.
• Jeffery Alan Bennett, PHARMD

• Dermatology Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.