Active NPI
Matthew Tynes Coleman, PA-C
- Medical Physician Assistant
- Haughton, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.A10348
- Practice address
- 3418 Heatherbrook Dr
Haughton, LA 71037-8513 - Phone
- (318) 381-3696
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.A10348 | LA | Primary |
Addresses
Primary practice location
3418 Heatherbrook Dr
Haughton, LA 71037-8513
Mailing address
3418 Heatherbrook Dr
Haughton, LA 71037-8513
Phone (318) 381-3696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2539 Viking Dr
Bossier City, LA 71111-2165
Hospital & facility affiliations
- Professional HH SVC of Minden
- Christus Shreveport-Bossier Health System
- North Caddo Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.A10348 | LA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bossier Family Medicine, LLC | Current | Accepting new patients | |
| Gastrointestinal Specialists, a.M.C. | Past | Accepting new patients |
Locations
2539 Viking Dr
Ste 100
Bossier City, LA 71111
Phone (318) 747-8100
5390 Barksdale Blvd
Ste 100
Bossier City, LA 71112
Phone (318) 747-8100
2539 Viking Dr
Ste 101
Bossier City, LA 71111
Phone (318) 747-8100
160 Stone Creek Rd
Ste A
Stonewall, LA 71078
Phone (318) 925-3339
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Bossier City, LA
- NPI 1003032236
-
- Urgent Care Clinic/Center
- Bossier City, LA
- NPI 1629577895
-
- Pharmacy
- Shreveport, LA
- NPI 1710788401
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- Home Health Agency
- Minden, LA
- NPI 1548267412
-
- Critical Access Hospital
- Vivian, LA
- NPI 1326016684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1972685683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3418 HEATHERBROOK DR",
"city": "HAUGHTON",
"state": "LA",
"postal_code": "710378513",
"telephone_number": "318-381-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3418 HEATHERBROOK DR",
"city": "HAUGHTON",
"state": "LA",
"postal_code": "710378513",
"telephone_number": "318-381-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "MATTHEW",
"middle_name": "TYNES",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "LA",
"license": "PA.A10348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haughton, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.