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WILLIS KNIGHTON SOUTH HOSPITAL
NPI 1124170691
General Acute Care Hospital in Shreveport, LA

Active since January 17, 2007CLIA 19D0649274 · Accreditation
2510 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118(318) 212-5003(318) 212-5005 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willis Knighton South Hospital NPPES

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

WILLIS KNIGHTON SOUTH HOSPITAL (NPI 1124170691) is a healthcare organization registered as a general acute care hospital in Shreveport, Louisiana and active in the NPI registry since January 2007. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Stacy H Alexander, Controller, as its authorized official.

NPPES Registry Identity

NPI1124170691
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameWILLIS KNIGHTON MEDICAL CENTER, INC.
Location Address2510 BERT KOUNS INDUSTRIAL LOOPShreveport, LA 71118-3119
Mailing Address2510 Bert Kouns Industrial LoopShreveport, LA 71118-3119 · (318) 212-5003 · Fax (318) 212-5005
Phone(318) 212-5003
Fax(318) 212-5005
Organization SubpartNo
Authorized OfficialStacy H AlexanderController · (318) 212-4877
Enumeration DateJanuary 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124170691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in LA · 232-A
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
2510 BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71118
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Other Names 1

Doing Business AsWillis Knighton South Hospital

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 19D0649274

Willis Knighton South Hospital · Shreveport, LA
Active · expires Feb 27, 2027
CLIA Number19D0649274
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Matthew B. Mastrodomenico
Laboratory Phone(318) 212-8368
Laboratory LocationWillis Knighton South Hospital2510 Bert Kouns Industrial Loop Attn Laboratory, Shreveport, LA 71118
CLIA data matches this NPI record on: Address Name
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 14

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

BILLY B MILLER III CRNA
Nurse Anesthetist, Certified Registered
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5000
SHANNON RENEE FAULKINBERRY MD, MPH
Pediatrics (Pediatric Critical Care Medicine)
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5665
DR. PATRICK TIMOTHY GALLAGHER SR. M.D.
Emergency Medicine
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5500
WK BEHAVIORAL HEALTH SERVICES
Psychiatry & Neurology (Psychiatry)
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5200
MRS. SARAH HATFIELD NNP
Nurse Practitioner (Neonatal, Critical Care)
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5416
DAVID R EASTERLING MD
Emergency Medicine
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVPORT, LA 71118
Caddo Parish (318) 212-5500
G BRENT WHITTON MD AND WILLIS-KNIGHTON MEDICAL CENTER
Pediatrics (Neonatal-Perinatal Medicine)
2510 BERT KOUNS INDUSTRIAL LOOP, ROOM 215
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5970
DR. MICHAEL J SULLIVAN MD
Emergency Medicine
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (504) 834-2062

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 Willis Knighton Medical Center, Inc.'s NPI number?

The NPI number for Willis Knighton Medical Center, Inc. is 1124170691. It was assigned to this organization in the NPPES registry on January 17, 2007. The provider is doing business as Willis Knighton South Hospital.

Where is Willis Knighton Medical Center, Inc. located?

Willis Knighton Medical Center, Inc. is located at 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118. The listed phone number is (318) 212-5003.

What is Willis Knighton Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Willis Knighton Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 19D0649274) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Willis Knighton Medical Center, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Willis Knighton Medical Center, Inc. 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 Willis Knighton Medical Center, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.