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CLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION
NPI 1265749519
Family Medicine - Addiction Medicine in West Monroe, LA

Active since September 08, 2010CLIA 19D0464519 · Waiver
304 CIRCLE DR, WEST MONROE, LA 71291(318) 388-4863(318) 388-1144 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clyde E. Elliott, M. D. A Professional Corporation NPPES

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

CLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION (NPI 1265749519) is a healthcare organization registered as an addiction medicine in West Monroe, Louisiana and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Clyde Edwin Elliott, President, as its authorized official.

NPPES Registry Identity

NPI1265749519
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameCLYDE E. ELLIOTT, M. D. A PROFESSIONAL CORPORATION
Location Address304 CIRCLE DRWest Monroe, LA 71291-5308
Mailing Address304 Circle DrWest Monroe, LA 71291-5308 · (318) 388-4863 · Fax (318) 388-1144
Phone(318) 388-4863
Fax(318) 388-1144
Organization SubpartNo
Authorized OfficialClyde Edwin ElliottPresident · (318) 388-4863
Enumeration DateSeptember 8, 2010
Last NPPES UpdateNovember 1, 2011
✔ NPI 1265749519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in LA · 10533
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
304 CIRCLE DR, West Monroe, LA 71291
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINB63114LA

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

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 19D0464519

Clyde E Elliott MD · West Monroe, LA
Active · expires Aug 31, 2026
CLIA Number19D0464519
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorClyde E. Elliott
Laboratory Phone(318) 388-4863
Laboratory LocationClyde E Elliott MD200 Professional Drive, West Monroe, LA 71291
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. CLYDE E ELLIOTT MD
Family Medicine
304 CIRCLE DR
WEST MONROE, LA 71291
Ouachita Parish (318) 388-4863

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 Clyde E. Elliott, M. D. A Professional Corporation's NPI number?

The NPI number for Clyde E. Elliott, M. D. A Professional Corporation is 1265749519. It was assigned to this organization in the NPPES registry on September 8, 2010.

Where is Clyde E. Elliott, M. D. A Professional Corporation located?

Clyde E. Elliott, M. D. A Professional Corporation is located at 304 Circle Dr, West Monroe, LA 71291. The listed phone number is (318) 388-4863.

What is Clyde E. Elliott, M. D. A Professional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Clyde E. Elliott, M. D. A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0464519) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clyde E. Elliott, M. D. A Professional Corporation was last updated on November 1, 2011. 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.