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WK LOUISIANA FAMILY PRACTICE
NPI 1164464889
Family Medicine in Bossier City, LA

Active since June 11, 2006
2300 HOSPITAL DR, SUITE 200, BOSSIER CITY, LA 71111(318) 212-7830(318) 212-7835 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wk Louisiana Family Practice NPPES

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

WK LOUISIANA FAMILY PRACTICE (NPI 1164464889) is a healthcare organization registered as a family medicine in Bossier City, Louisiana and active in the NPI registry since June 2006. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1164464889
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWK LOUISIANA FAMILY PRACTICE
Location Address2300 HOSPITAL DR, SUITE 200Bossier City, LA 71111-2394
Mailing Address2300 Hospital Dr, Suite 200Bossier City, LA 71111-2394 · (318) 212-7830 · Fax (318) 212-7835
Phone(318) 212-7830
Fax(318) 212-7835
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-8780
Enumeration DateJune 11, 2006
Last NPPES UpdateJune 8, 2012
✔ NPI 1164464889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2300 HOSPITAL DR, Bossier City, LA 71111
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Other Identifiers 2

Medicaid1452858LA
Medicare PIN5CT31LA

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 SINGLE SPECIALTY GROUP

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 Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wk Louisiana Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Wk Louisiana Family Practice, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Scott Mighell, MD
Family Practice
NPI 1093759854
2300 HOSPITAL DR SUITE 200
Bossier City, LA 71111
(318) 212-7830
✔ PECOS✔ Accepts MedicareSame address
Daniel Payne, MD
Family Practice
NPI 1073557542
2300 HOSPITAL DR SUITE 200
Bossier City, LA 71111
(318) 212-7830
✔ PECOS✔ Accepts MedicareSame address
Sanjaykumar Shah, MD
Family Practice
NPI 1740226505
2300 HOSPITAL DR SUITE 200
Bossier City, LA 71111
(318) 212-7830
✔ PECOS✔ Accepts MedicareSame address
Melanie Smith, MD
Internal Medicine
NPI 1659317410
2300 HOSPITAL DR SUITE 200
Bossier City, LA 71111
(318) 212-7830
✔ PECOS✔ Accepts MedicareSame address
Robert Smith, MD
Family Practice
NPI 1972863231
2300 HOSPITAL DR SUITE 200
Bossier City, LA 71111
(318) 212-7830
✔ PECOS✔ Accepts MedicareSame address
Ted Warren, MD
Family Practice
NPI 1306878509
2300 HOSPITAL DR SUITE 200
Bossier City, LA 71111
(318) 212-7830
✔ PECOS✔ Accepts MedicareSame address
Kaitlyn Bland, MD
Family Practice
NPI 1427792969
2300 HOSPITAL DR STE 200
Bossier City, LA 71111
(318) 212-7830
✔ PECOS✔ Accepts MedicareSame address
Taylor Bradford, FNP
Nurse Practitioner
NPI 1790303352
2300 HOSPITAL DR STE 200
Bossier City, LA 71111
(318) 212-7830
✔ PECOS✔ Accepts MedicareSame address
John Harris, M.D.
Internal Medicine
NPI 1437234903
8001 YOUREE DR SUITE 400
Shreveport, LA 71115
(318) 212-3456
✔ PECOS✔ Accepts Medicare8.8 mi

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

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 Wk Louisiana Family Practice's NPI number?

The NPI number for Wk Louisiana Family Practice is 1164464889. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Wk Louisiana Family Practice located?

Wk Louisiana Family Practice is located at 2300 Hospital Dr Suite 200, Bossier City, LA 71111. The listed phone number is (318) 212-7830.

What is Wk Louisiana Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wk Louisiana Family Practice enrolled in Medicare?

Yes. Wk Louisiana Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wk Louisiana Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Wk Louisiana Family Practice. 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 Family Practice (6), Internal Medicine (2) and Nurse Practitioner (1). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wk Louisiana Family Practice accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Wk Louisiana Family Practice 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 Wk Louisiana Family Practice was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.