NPIMap

Individual provider Active NPI

Thomas L Colvin, MD

  • Family Medicine Physician
  • Winnsboro, LA
National Provider Identifier
1982670733
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.019859 Issued in LA
Practice address
2106 Loop Rd Ste a
Winnsboro, LA 71295-3343
Phone
(318) 435-6363
Fax
(318) 435-4646
NPI assigned
Feb 23, 2006
Last updated
Mar 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.019859 LA Primary

Addresses

Primary practice location

2106 Loop Rd Ste a
Winnsboro, LA 71295-3343

Mailing address

2106 Loop Rd Ste a
Winnsboro, LA 71295-3343
Phone (318) 435-6363

Other identifiers 4

IdentifierTypeStateIssuer
L92021OtherLAVANTAGE PROVIDER NUMBER
4371062OtherLAAETNA PROVIDER NUMBER
1387533MedicaidLA
1449571MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000018 LA Practitioner - Family PracticePractitioner - Emergency Medicine 5799713384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2106 Loop Rd
Winnsboro, LA 71295-1300

2106 Loop Rd
Winnsboro, LA 71295-3344
Phone (318) 412-5265

PO Box
Suite 1300
Winnsboro, LA 71295

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.019859LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice TLC, Inc Family Medicine Current Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Jul 31, 1987 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Jul 31, 1987 Accepting new patients
Jimmy R Coughran a Medical Corporation Family Medicine Current Accepting new patients
Franklin Parish Hospital Service Dist 1 Past Accepting new patients
Franklin Parish Hospital Past Accepting new patients
Winnsboro Opco LLC Past Accepting new patients
Franklin Parish Hospital Service Dist 1 Past Accepting new patients
Plantation Manor Nursing & Rehabilitation Center, LLC Past Accepting new patients
Plantation Oaks Nursing & Rehabilitation Center LLC Past Accepting new patients
Mary Anna Nursing Home Inc Past Accepting new patients

Locations

104 Verona St
Newellton, LA 71357
Phone (318) 467-2349

448 Newton St
Saint Joseph, LA 71366
Phone (318) 412-5265

2104 Loop Rd
Ste C
Winnsboro, LA 71295
Phone (318) 435-4571

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

2106 Loop Rd
Ste A
Winnsboro, LA 71295
Phone (318) 435-6363

5745 Highway 17
Winnsboro, LA 71295
Phone (318) 722-3333

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Plantation Manor Nursing & Rehabilitation CenterWinnsboro, LA, CCN 195257 Skilled nursing facility Adp of the SNF Mar 26, 2025
Hancock Home HealthWinnsboro, LA, CCN 197113 Home health agency 5% Or Greater Direct Ownership Interest (95%) Jun 16, 2023
Hospice TLC, Inc.Winnsboro, LA, CCN 191617 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (50%)		 Apr 17, 2020
Aug 5, 2005

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 11

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1982670733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 LOOP RD STE A",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953343",
            "telephone_number": "318-435-6363",
            "fax_number": "318-435-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 LOOP RD STE A",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953343",
            "telephone_number": "318-435-6363",
            "fax_number": "318-435-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.019859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VANTAGE PROVIDER NUMBER",
            "identifier": "L92021",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4371062",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1387533",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449571",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

Verify at the official NPI Registry.