NCMC MEDICAL & SURGICAL CLINIC
NPI 1013181866
Clinic/Center - Rural Health in Vivian, LA

Active since April 14, 2008CLIA 19D0694058 · Certificate of Compliance
815 S PINE ST, VIVIAN, LA 71082(318) 375-3239(318) 375-2755 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 25, 2023, Jul 18, 2023, Mar 23, 2023 and 4 more (7 updates tracked since 2020).

About Ncmc Medical & Surgical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NCMC MEDICAL & SURGICAL CLINIC (NPI 1013181866) is a healthcare organization registered as a rural health in Vivian, Louisiana and active in the NPI registry since April 2008. The organization holds a CLIA Certificate of Compliance certificate valid through July 19, 2027 and lists Dakota Robinson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013181866
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNORTH CADDO HOSPITAL SERVICE DISTRICT
Location Address815 S PINE STVivian, LA 71082-3314
Mailing AddressPo Box 792Vivian, LA 71082-0792 · (318) 375-3239 · Fax (318) 375-2755
Fax(318) 375-2755
Organization SubpartNo
Authorized OfficialDakota RobinsonCfo · (318) 375-4097
Enumeration DateApril 14, 2008
Last NPPES UpdateJuly 25, 20237 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1013181866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
815 S PINE ST, Vivian, LA 71082

Other Names 1

Doing Business AsNcmc Medical & Surgical Clinic

Other Identifiers 1

Medicaid1038130LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ncmc Medical & Surgical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20040113000307Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Ncmc Medical & Surgical Clinic, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner10
Emergency Medicine8
Family Practice6
Diagnostic Radiology1
General Surgery1
Obstetrics/Gynecology1

Nearest to this location (20)

See all 27
Family Practice
NPI 1487282125
815 S PINE ST
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1619110152
815 S PINE ST
Vivian, LA 71082
(318) 375-3235
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1801824651
815 S PINE ST
Vivian, LA 71082
(318) 375-3235
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447882162
815 S PINE ST
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1194413559
815 S PINE ST
Vivian, LA 71082
(318) 375-3235
✔ PECOSSame address
Nurse Practitioner
NPI 1720205586
815 S PINE ST
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1154999712
815 S PINE ST
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts Medicare1.1 mi
Emergency Medicine
NPI 1003083205
1003 S SPRUCE ST NCMC MEDICAL AND SURGICAL CLINIC
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1033841036
103 HIGHWAY 1 S
Oil City, LA 71061
(318) 995-6504
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1407588627
112 N FORREST RD
Plain Dealing, LA 71064
(318) 326-7272
✔ PECOS✔ Accepts Medicare17 mi
Emergency Medicine
NPI 1750592440
112 N FORREST RD
Plain Dealing, LA 71064
(318) 326-7272
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1801653936
188 BURT BLVD
Benton, LA 71006
(318) 965-5017
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1366730558
188 BURT BLVD
Benton, LA 71006
(318) 965-5017
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1780815985
5948 N MARKET ST
Shreveport, LA 71107
(318) 375-0001
✔ PECOS✔ Accepts Medicare21 mi
General Surgery
NPI 1528064078
2400 HOSPITAL DR STE. 250
Bossier City, LA 71111
(318) 746-4460
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1003808569
1500 LINE AVENUE STE 200
Shreveport, LA 71101
(318) 629-5555
✔ PECOS✔ Accepts Medicare30 mi
Emergency Medicine
NPI 1265994032
1541 KINGS HIGHWAY FAMILY MEDICINE
Shreveport, LA 71130
(318) 626-0014
✔ PECOS✔ Accepts Medicare33 mi
Family Practice
NPI 1740365733
2125 E BERT KOUNS INDUSTRIAL LOOP
Shreveport, LA 71105
(318) 401-1766
✔ PECOS✔ Accepts Medicare34 mi
Diagnostic Radiology
NPI 1275780447
708 N ASHLEY RIDGE LOOP #400
Shreveport, LA 71106
(318) 470-5262
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1831566777
5668 BARKSDALE BLVD
Bossier City, LA 71112
(318) 735-1800
✔ PECOS✔ Accepts Medicare36 mi
See all 27 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 19D0694058

Ncmc Medical & Surgical · Vivian, LA
Active · expires Jul 19, 2027
CLIA Number19D0694058
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorCharles G. Guest
Laboratory Phone(318) 375-4117
Laboratory LocationNcmc Medical & Surgical815 South Pine Street, Vivian, LA 71082
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Caddo Hospital Service District's NPI number?

The NPI number for North Caddo Hospital Service District is 1013181866. It was assigned to this organization in the NPPES registry on April 14, 2008. The provider is doing business as Ncmc Medical & Surgical Clinic.

Where is North Caddo Hospital Service District located?

North Caddo Hospital Service District is located at 815 S Pine St, Vivian, LA 71082. The listed phone number is (318) 375-3239.

What is North Caddo Hospital Service District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is North Caddo Hospital Service District enrolled in Medicare?

Yes. North Caddo Hospital Service District is registered in the Medicare PECOS enrollment system.

When is North Caddo Hospital Service District's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through North Caddo Hospital Service District?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 6 Medicare specialties reassign their Medicare billing to North Caddo Hospital Service District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Emergency Medicine (8) and Family Practice (6). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Caddo Hospital Service District hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 19D0694058) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Caddo Hospital Service District accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan list North Caddo Hospital Service District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Caddo Hospital Service District was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.