Individual provider Active NPI

Garrett Price Soileau, PA-C

  • Physician Assistant
  • Ruston, LA
National Provider Identifier
1992465488
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
329675 Issued in LA
Practice address
911 Tech Dr
Ruston, LA 71270-0701
Phone
(318) 265-6376
Fax
(318) 265-6377
NPI assigned
Dec 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 329675 LA Primary

Addresses

Primary practice location

911 Tech Dr
Ruston, LA 71270-0701

Mailing address

911 Tech Dr
Ruston, LA 71270-0701
Phone (318) 265-6376

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220105001882 LA Practitioner - Physician Assistant 5698166460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayou Dermatology LLCGroup PAC ID 0648758292, 4 clinicians

Practice addresses (Care Compare)

911 Tech Dr
Ruston, LA 71270-0701
Phone (318) 265-6376

Hospital & facility affiliations

  • Northern Louisiana Medical Center Hospital, Ruston, LA, CCN 190086

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as apm
Quality
60.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bayou Dermatology LLC CurrentSince Mar 6, 2026 Accepting new patients

Locations

3 Medical Plaza Pl
Minden, LA 71055
Phone (318) 377-7134

1200 S Farmerville St
Ruston, LA 71270
Phone (318) 251-6103

911 Tech Dr
Ruston, LA 71270
Phone (318) 251-9095

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1992465488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 TECH DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712700701",
            "telephone_number": "318-265-6376",
            "fax_number": "318-265-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 TECH DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712700701",
            "telephone_number": "318-265-6376",
            "fax_number": "318-265-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOILEAU",
        "first_name": "GARRETT",
        "middle_name": "PRICE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-23",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "329675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.