LOUISIANA FAMILY MEDICINE CLINIC, INC.
NPI 1083094007
Non-Pharmacy Dispensing Site in Jonesboro, LA

Q: What is Louisiana Family Medicine Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since June 04, 2015CLIA 19D2043474 · Accreditation

103 WATTS ST, JONESBORO, LA 71251(318) 259-1569(318) 259-8523 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Louisiana Family Medicine Clinic, Inc. NPPES

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

LOUISIANA FAMILY MEDICINE CLINIC, INC. (NPI 1083094007) is a healthcare organization registered as a non-pharmacy dispensing site in Jonesboro, Louisiana and active in the NPI registry since June 2015. The organization holds an CLIA Accreditation certificate valid through November 19, 2027 and lists Dirk Rainwater, Owner, as its authorized official.

NPPES Registry Identity

NPI1083094007

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameLOUISIANA FAMILY MEDICINE CLINIC, INC.

Location Address103 WATTS STJonesboro, LA 71251-2053

Mailing Address103 Watts StJonesboro, LA 71251-2053 · (318) 259-1569 · Fax (318) 259-8523

Phone(318) 259-1569

Fax(318) 259-8523

Organization SubpartNo

Authorized OfficialDirk RainwaterOwner · (318) 259-1569

Enumeration DateJune 4, 2015

✔ NPI 1083094007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

103 WATTS ST, Jonesboro, LA 71251

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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 Accreditation 19D2043474

Louisiana Family Medicine Clinic · Jonesboro, LA

Active · expires Nov 19, 2027

CLIA Number19D2043474

Laboratory TypePhysician Office

Certificate Effective DateNovember 20, 2025

Certificate Expiration DateNovember 19, 2027

Laboratory DirectorDirk T. Rainwater

Laboratory Phone(318) 259-1569

Laboratory LocationLouisiana Family Medicine Clinic103 Watts Street, Jonesboro, LA 71251

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 6

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

MR. DIRK TIMOTHY RAINWATER MD

General Practice