LOUISIANA FAMILY MEDICINE CLINIC
NPI 1174903249
Non-Pharmacy Dispensing Site in Bossier City, LA

Q: What is Louisiana Family Medicine Clinic's NPI number?

The NPI number for Louisiana Family Medicine Clinic is 1174903249. It was assigned to this organization in the NPPES registry on June 4, 2015.

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

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

Active since June 04, 2015CLIA 19D2107519 · Waiver

2890 DOUGLAS DR, STE. 100, BOSSIER CITY, LA 71111(318) 742-6900(318) 742-3900 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 NPPES

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

LOUISIANA FAMILY MEDICINE CLINIC (NPI 1174903249) is a healthcare organization registered as a non-pharmacy dispensing site in Bossier City, Louisiana and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Dirk T. Rainwater, Owner, as its authorized official.

NPPES Registry Identity

NPI1174903249

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameLOUISIANA FAMILY MEDICINE CLINIC

Location Address2890 DOUGLAS DR, STE. 100Bossier City, LA 71111-5806

Mailing Address2890 Douglas Dr, Ste. 100Bossier City, LA 71111-5806 · (318) 742-6900 · Fax (318) 742-3900

Phone(318) 742-6900

Fax(318) 742-3900

Organization SubpartNo

Authorized OfficialDirk T. RainwaterOwner · (318) 259-1569

Enumeration DateJune 4, 2015

✔ NPI 1174903249 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.)

2890 DOUGLAS DR, Bossier City, LA 71111

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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 Waiver 19D2107519

Louisiana Family Medicine Clinic · Bossier City, LA

Active · expires Jan 12, 2027

CLIA Number19D2107519

Laboratory TypePhysician Office

Certificate Effective DateJanuary 13, 2025

Certificate Expiration DateJanuary 12, 2027

Laboratory DirectorDirk T. Rainwater

Laboratory Phone(318) 742-6900

Laboratory LocationLouisiana Family Medicine Clinic2890 Douglas Drive, Suite 100, Bossier City, LA 71111

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

GELINIA JACKSON APRN

Nurse Practitioner (Family)

2890 DOUGLAS DR
BOSSIER CITY, LA 71111

Bossier Parish (318) 742-6900

MEGAN RAINWATER SCOTT APRN-CNP

Nurse Practitioner (Family)

2890 DOUGLAS DR
BOSSIER CITY, LA 71111

Bossier Parish (318) 742-6900

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 Louisiana Family Medicine Clinic's NPI number?

The NPI number for Louisiana Family Medicine Clinic is 1174903249. It was assigned to this organization in the NPPES registry on June 4, 2015.

Where is Louisiana Family Medicine Clinic located?

Louisiana Family Medicine Clinic is located at 2890 Douglas Dr Ste. 100, Bossier City, LA 71111. The listed phone number is (318) 742-6900.

What is Louisiana Family Medicine Clinic's specialty?

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

Does Louisiana Family Medicine Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2107519) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Louisiana Family Medicine Clinic accept?

Health plans from Blue Cross and Blue Shield of Alabama list Louisiana Family Medicine Clinic 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 Louisiana Family Medicine Clinic was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.