GIBSON FAMILY PRACTICE
NPI 1316418288
Family Medicine - Addiction Medicine in Shreveport, LA
About Gibson Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GIBSON FAMILY PRACTICE (NPI 1316418288) is a healthcare organization registered as an addiction medicine in Shreveport, Louisiana and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through October 28, 2026, maintains a secondary practice location in Shreveport, and lists William Lee Gibson, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted 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 19D2198123
Gibson Family Practice Drg Medical LLC · Shreveport, LAFrequently 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 Drg Medical LLC's NPI number?
The NPI number for Drg Medical LLC is 1316418288. It was assigned to this organization in the NPPES registry on December 17, 2018. The provider is doing business as Gibson Family Practice.
Where is Drg Medical LLC located?
Drg Medical LLC is located at 1549 Elizabeth Ave, Shreveport, LA 71101. The listed phone number is (318) 918-0058.
What is Drg Medical LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Does Drg Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2198123) is associated with this NPI, valid through October 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Drg Medical LLC accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Drg Medical 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 Drg Medical LLC was last updated on October 26, 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.
# Gibson Family Practice · NPI 1316418288
Addiction Medicine organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since December 17, 2018.
## Identity
- **NPI:** 1316418288 (Entity type: Organization)
- **Enumerated:** December 17, 2018
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **Legal business name:** Drg Medical Llc
- **Organization subpart:** No
- **Authorized official:** William Gibson, MANAGER
## Practice location
- **Address:** 1549 ELIZABETH AVE, Shreveport, LA 71101-4501
- **Phone:** (318) 918-0058
## Record status
- **NPPES last updated:** October 26, 2020
- **Other identifiers:** Medicaid 1509639 (LA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316418288) · Data from the CMS NPPES public registry.