Individual provider Active NPI

Jody Dale Chance, MD

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1740365733
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V7353 Issued in TX
Practice address
2125 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5314
Phone
(318) 401-1766
NPI assigned
Oct 26, 2006
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X V7353 TX
Emergency Medicine Physician 207P00000X 201154 LA
Family Medicine Physician 207Q00000X 201154 LA
Family Medicine Physician 207Q00000X V7353 TX Primary

Addresses

Primary practice location

2125 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5314

Mailing address

2125 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5314
Phone (318) 401-1766

Other practice location 1

5948 N Market St
Shreveport, LA 71107-2017
Phone (318) 375-0001

Other practice location 2

112 N Forrest Rd
Plain Dealing, LA 71064-4031
Phone (318) 326-7272

Other practice location 3

188 Burt Blvd
Benton, LA 71006-4900
Phone (318) 965-5017

Other practice location 4

815 S Pine St
Vivian, LA 71082-3314
Phone (318) 375-3239

Other identifiers 2

IdentifierTypeStateIssuer
1038130MedicaidLA
MD.201154OtherLALICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jodychance@ncmcla.cernerdirect.com Direct
Direct Messaging Address jodychance@ncmc.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070517000295 LA Practitioner - Family PracticePractitioner - Emergency Medicine 8325145808 Reassigns benefits to 5 organizations
I20250821000143 TX Practitioner - Family PracticePractitioner - Emergency Medicine 8325145808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians
Union Emergency Physicians PLLCGroup PAC ID 7810359759, 63 clinicians

Practice addresses (Care Compare)

1007 S William St
Atlanta, TX 75551-3245
Phone (903) 799-3000

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201154LAMDEmergency Medicine Physician
V7353TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Caddo Hospital Service District Family Medicine CurrentSince Jul 1, 2008 Accepting new patients
Union Emergency Physicians, PLLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Parish State Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
North Caddo Medical Center Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
North Caddo Hospital Service District Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
North Caddo Hospital Service District Family Medicine CurrentSince Apr 18, 2023 Accepting new patients
Springhill Medical Services, Inc. Past Accepting new patients

Locations

188 Burt Blvd
Benton, LA 71006
Phone (318) 965-1000

200 Corporate Blvd
Lafayette, LA 70508

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

103 Highway 1 S
Oil City, LA 71061
Phone (318) 375-4008

112 N Forrest Rd
Plain Dealing, LA 71064
Phone (318) 326-7272

5948 N Market St
Shreveport, LA 71107
Phone (318) 375-0001

1003 S Spruce St
Vivian, LA 71082
Phone (318) 375-3239

815 S Pine St
Vivian, LA 71082
Phone (318) 375-3239

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

4250 Gibson Ln
Texarkana, TX 75503
Phone (903) 614-8100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/440a8ebc-db01-474a-8d18-2ca626c92c6c/
  • Direct secure messaging: jodychance@ncmc.allscriptsdirect.net
  • Direct secure messaging: jodychance@ncmcla.cernerdirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1740365733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 E BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055314",
            "telephone_number": "318-401-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 E BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055314",
            "telephone_number": "318-401-1766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5948 N Market St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711072017",
            "country_code": "US",
            "telephone_number": "318-375-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N Forrest Rd",
            "address_purpose": "LOCATION",
            "city": "Plain Dealing",
            "state": "LA",
            "postal_code": "710644031",
            "country_code": "US",
            "telephone_number": "318-326-7272",
            "fax_number": "318-326-7282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Burt Blvd",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "LA",
            "postal_code": "710064900",
            "country_code": "US",
            "telephone_number": "318-965-5017",
            "fax_number": "318-965-5019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Vivian",
            "state": "LA",
            "postal_code": "710823314",
            "country_code": "US",
            "telephone_number": "318-375-3239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "JODY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "V7353",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "201154",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "201154",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V7353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038130",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD.201154",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jodychance@ncmcla.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "North Caddo Medical Center jodychance@ncmcla.cernerdirect.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "815 S Pine St",
            "city": "Vivian",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710823314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jodychance@ncmc.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "NCMC Medical and Surgical Clinic jodychance@ncmc.allscriptsdirect.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "815 S Pine St",
            "city": "Vivian",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710823314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.