Spine Center of Excellence LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPINE CENTER OF EXCELLENCE LLC

Doing business as

Spine Center of Excellence

Practice address

411 Coleman Avenue
Bossier City, LA 71111

Phone

(318) 585-2000

Fax

(318) 585-0360

NPI assigned

Apr 11, 2022

Last updated

Feb 6, 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

Pierce D Nunley, MDNPI 1417940750

Title

Director/Managing Member

Phone

(318) 585-2000

Specialties & licenses 1

Addresses

Other names 1

• Spine Center of Excellence Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Spine Center of Excellence LLCCCN 19C0001148

Medicare certification status

ActiveFrom the Provider of Services file

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 2

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.

• Pierce D Nunley, MD

  • Orthopaedic Surgery Physician
  • Shreveport, LA
  • NPI 1417940750
  Authorized official Same address or phone
• Eubulus J Kerr III, M.D.

  • Orthopaedic Surgery Physician
  • Shreveport, LA
  • NPI 1730171299
  NPD (past)

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1871235770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 COLEMAN AVENUE",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-629-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 COLEMAN AVENUE",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-585-2000",
            "fax_number": "318-585-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CENTER OF EXCELLENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "NUNLEY",
        "authorized_official_first_name": "PIERCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR/MANAGING MEMBER",
        "authorized_official_telephone_number": "318-585-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Center of Excellence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spine Center of Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Leigh Sparkman, PA-C
• Brian Wayne Sparks, PA-C
• Amanda Graham Spaw, MOT
• Speak Up Pediatric Therapy LLC
• Kendrick Speech
• Beverly Spooner, R.N.
• Hannah Diane Sprague, PLPC
• Sr Bossier LLC (Southern Roots Dentistry)
• St Arogya LLC
• Stacey Pierce Counseling LLC

• Ambulatory Surgical Clinic/Center in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Ambulatory Surgical Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.