1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JACK KEELING TOLSON III
NPI 1013851393
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Active since April 16, 2026PECOS Enrolled
1501 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Keeling Tolson Iii NPPES

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

JACK KEELING TOLSON III (NPI 1013851393) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013851393
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK KEELING TOLSON III
Location Address1501 KINGS HWYShreveport, LA 71103-4228
Mailing Address3100 Fairfield Ave # 3dShreveport, LA 71104-4152 · (337) 308-7645
Phone(318) 626-0000
Sole ProprietorYes
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1013851393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1501 KINGS HWY, Shreveport, LA 71103
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Keeling Tolson Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HS LOUISIANA, LLC
General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Caddo Parish (904) 834-2679
MUNIRA DAWITH MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-6619
MUHAMMAD AYUB
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434
SEFI AHMED JAWADI
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0505
RYAN MORRIS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-2293
LUKE MUIZNIEKS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-1574
KRISTIN BEMBENICK
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5300
CHRISTIAN SCOTT BAKER MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5053

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 Jack Tolson's NPI number?

The NPI number for Jack Tolson is 1013851393. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Jack Tolson located?

Jack Tolson practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0000.

What is Jack Tolson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jack Tolson enrolled in Medicare?

Yes. Jack Tolson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Tolson was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.