Individual provider Active NPI

Glynn Riels Jr., DO

  • Family Medicine Physician
  • Ruston, LA
National Provider Identifier
1811525017
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-16443 Issued in AR
Practice address
401 E Vaughn Ave
Ruston, LA 71270-5950
Phone
(318) 254-2100
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-16443 AR Primary
Family Medicine Physician 207Q00000X 340086 LA

Addresses

Primary practice location

401 E Vaughn Ave
Ruston, LA 71270-5950

Mailing address

401 E Vaughn Ave
Ruston, LA 71270-5950

Other practice location 1

503 McMillan Rd
West Monroe, LA 71291-5327
Phone (318) 329-4200

Other practice location 2

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, LA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211206002648 TN Practitioner - Family Practice 6103249784 Reassigns benefits to 4 organizations
I20230703003151 AR Practitioner - Family Practice 6103249784 Reassigns benefits to 2 organizations
I20240716002065 LA Practitioner - Family Practice 6103249784 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Louisiana Emergency Physicians, LLPGroup PAC ID 9638246846, shared by 2 NPIs, 28 clinicians
Ed Physicians of West Louisiana, LLCGroup PAC ID 4880795665, 26 clinicians

Practice addresses (Care Compare)

401 E Vaughn Ave
Ruston, LA 71270-5950
Phone (318) 254-2100

503 McMillan Rd
West Monroe, LA 71291-5327
Phone (318) 329-4700

Hospital & facility affiliations

  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160
  • Northern Louisiana Medical Center Hospital, Ruston, LA, CCN 190086
  • Morehouse General Hospital Hospital, Bastrop, LA, CCN 190116
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

Merit-based Incentive Payment System (MIPS)

Final score
94.47 of 100Reported as group
Improvement activities
40
Cost
73.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4561TNMDRegistered Dietitian
E-16443ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Louisiana Emergency Physicians LLP CurrentSince Jun 3, 2024 Accepting new patients
Lauderdale Community Hospital LLC CurrentSince Jan 1, 2022 Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Aug 15, 2023 Accepting new patients
Northern Louisiana Emergency Physicians, LLP CurrentSince Jun 3, 2024 Accepting new patients
Emergency Medical Care Facilities PC CurrentSince Aug 1, 2023 Accepting new patients
Lauderdale Community Hospital LLC CurrentSince Jan 1, 2022 Accepting new patients
Hospital Medicine Services of Tennessee PC Family Medicine CurrentSince Oct 12, 2022 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Jul 1, 2023 Accepting new patients
Ed Physicians of West Louisiana, LLC CurrentSince Feb 1, 2025 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Nov 20, 2024 Accepting new patients
Monroe Emergency Physicians LLC CurrentSince Jun 19, 2024 Accepting new patients
Ess of El Dorado, LLC CurrentSince Dec 24, 2023 Accepting new patients
Acs Primary Care Physicians Louisiana PC CurrentSince Sep 1, 2024 Accepting new patients
St Tammany Emergency Physicians Group LLC CurrentSince Feb 22, 2025 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

2729 S Highway 65 82
Lake Village, AR 71653
Phone (870) 265-5351

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

631 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2933

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

340 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9
  • Direct secure messaging: griels5283314@direct.casso.us.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1811525017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705950",
            "telephone_number": "318-254-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 McMillan Rd",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712915327",
            "country_code": "US",
            "telephone_number": "318-329-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIELS",
        "first_name": "GLYNN",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-16443",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "340086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.