Active NPI
Jody Dale Chance, MD
- Family Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- V7353
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1038130 | Medicaid | LA | |
| MD.201154 | Other | LA | LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201154 | LA | MD | Emergency Medicine Physician |
| V7353 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Caddo Hospital Service District | Family Medicine | Current | Accepting new patients |
| Union Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Parish State Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Northeast Texas Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| North Caddo Medical Center | Family Medicine | Current | Accepting new patients |
| North Caddo Hospital Service District | Emergency Medicine | Current | Accepting new patients |
| North Caddo Hospital Service District | Family Medicine | Current | 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
- https://fhir-myrecord.cerner.com/r4/440a8ebc-db01-474a-8d18-2ca626c92c6c/
- jodychance@ncmc.allscriptsdirect.net
- 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.
-
- Emergency Medicine Physician
- Longview, TX
- NPI 1114607611
-
- Emergency Medicine Physician
- Texarkana, TX
- NPI 1023798501
-
dba North Caddo Medical Center
- Critical Access Hospital
- Vivian, LA
- NPI 1326016684
Emergency Medicine
-
dba Plain Dealing Medical Clinic
- Family Medicine Physician
- Plain Dealing, LA
- NPI 1477798668
-
dba Oil City Medical
- Rural Health Clinic/Center
- Oil City, LA
- NPI 1144063264
Family Medicine
-
- Emergency Medicine Physician
- New Iberia, LA
- NPI 1023832870
-
- Rural Health Clinic/Center
- Shreveport, LA
- NPI 1760089791
-
dba NCMC Medical & Surgical Clinic
- Rural Health Clinic/Center
- Vivian, LA
- NPI 1013181866
Family Medicine
-
dba Bradley Medical Clinic
- Rural Health Clinic/Center
- Bradley, AR
- NPI 1407960271
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.