SOUTHERN MEDICAL SERVICES OF LOUISIANA, LLC - NPI 1225453335

Q: What is Southern Medical Services Of Louisiana, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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About Southern Medical Services Of Louisiana, Llc NPPES

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

SOUTHERN MEDICAL SERVICES OF LOUISIANA, LLC (NPI 1225453335) is a healthcare organization registered as a nurse practitioner in Bastrop, Louisiana and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Charles G Gladney, Owner, as its authorized official.

NPPES Registry Identity

NPI1225453335

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSOUTHERN MEDICAL SERVICES OF LOUISIANA, LLC

Location Address1523 TEXAS AVEBastrop, LA 71220-4043

Mailing Address1523 Texas AveBastrop, LA 71220-4043 · (318) 281-0078 · Fax (318) 281-2753

Phone(318) 281-0078

Fax(318) 281-2753

Organization SubpartNo

Authorized OfficialCharles G GladneyOwner · (318) 281-0078

Enumeration DateFebruary 26, 2014

✔ NPI 1225453335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1523 TEXAS AVE, Bastrop, LA 71220

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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 MULTIPLE SINGLE 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 ›

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 19D0993013

Southern Medical Services Of Louisiana, LLC · Bastrop, LA

Active · expires Oct 31, 2027

CLIA Number19D0993013

Laboratory TypePhysician Office

Certificate Effective DateNovember 1, 2025

Certificate Expiration DateOctober 31, 2027

Laboratory DirectorLisa Post

Laboratory Phone(318) 556-3333

Laboratory LocationSouthern Medical Services Of Louisiana, LLC510 South Washington Street, Bastrop, LA 71220

CLIA data matches this NPI record on: Name

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

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 Southern Medical Services Of Louisiana, LLC's NPI number?

The NPI number for Southern Medical Services Of Louisiana, LLC is 1225453335. It was assigned to this organization in the NPPES registry on February 26, 2014.

Where is Southern Medical Services Of Louisiana, LLC located?

Southern Medical Services Of Louisiana, LLC is located at 1523 Texas Ave, Bastrop, LA 71220. The listed phone number is (318) 281-0078.

What is Southern Medical Services Of Louisiana, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Southern Medical Services Of Louisiana, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0993013) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Medical Services Of Louisiana, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Southern Medical Services Of Louisiana, LLC 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 Southern Medical Services Of Louisiana, LLC was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.