MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER, LLC
NPI 1104890052
Orthopaedic Surgery in Alexandria, LA

Q: What is Mid State Orthopaedic & Sports Medicine Center, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since February 16, 2006

3444 MASONIC DRIVE, ALEXANDRIA, LA 71301(318) 473-9556(318) 441-8339 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Jan 2, 2024, Jul 5, 2022 and 1 more (4 updates tracked since 2021).

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About Mid State Orthopaedic & Sports Medicine Center, Llc NPPES

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

MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER, LLC (NPI 1104890052), doing business as Mid-state Orthopaedic & Sports Medicine Center Inc, is a healthcare organization registered as an orthopaedic surgery in Alexandria, Louisiana and active in the NPI registry since February 2006. The organization maintains a secondary practice location in Pineville and lists Nakita C Hickman, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104890052

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameMID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER, LLC

Location Address3444 MASONIC DRIVEAlexandria, LA 71301

Mailing Address3444 Masonic DriveAlexandria, LA 71301 · (318) 473-9556 · Fax (318) 441-8339

Phone(318) 473-9556

Fax(318) 441-8339

Organization SubpartNo

Authorized OfficialNakita C HickmanCredentialing Manager · (318) 441-8329

Enumeration DateFebruary 16, 2006

Last NPPES UpdateMarch 24, 20264 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1104890052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

3444 MASONIC DRIVE, Alexandria, LA 71301

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Other Names 1

Former Legal Business NameMid-state Orthopaedic & Sports Medicine Center Inc

Secondary Practice Location 1

Location 1429 Rocky Bayou DrPineville, LA 71360-8133 · Phone (318) 441-8329

Other Identifiers 3

Other0570570001LA · Medicare Dme Group #

OtherCD7720LA · Railroad Medicare Palmett

Medicaid1946320LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Mid-State Orthopaedic And Sports Me carries, from the Medicare DMEPOS supplier directory.

Mid-State Orthopaedic And Sports Me

DMEPOS supplier · Alexandria, LAOperated by Mid State Orthopaedic & Sports Medicine Center LLC

✔

Accepts Medicare assignment

Mid-State Orthopaedic And Sports Me agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20667641

Medicare Participant SinceMay 16, 1996

Supplier Location3444 Masonic DrAlexandria, LA 71301

Provider TypePhysician – Orthopedic/Orthopedic Surgery · Physician – Podiatry

Supplier Specialties

Orthotic Personnel

Medicare Product Categories

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Wheelchairs (Standard Manual Related Accessories)

Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Power)

Standard power wheelchairs, Heavy duty standard power wheelchairs

Wheelchair Seating/Cushions

Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests

Orthoses: Custom Fabricated

Custom met pads, Custom heel pads, Custom heel spur pads

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 12

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

MR. JEFFREY L GARRISON M.D.

Orthopaedic Surgery