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COMPLETE CARE OF ST GABRIEL LLC
NPI 1407679921
Clinic/Center - Rural Health in Saint Gabriel, LA

Active since November 04, 2024CLIA 19D2322180 · Waiver
735 HIGHWAY 30 BLDG 1, SAINT GABRIEL, LA 70776(601) 665-4162(855) 830-3484 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2025, Nov 4, 2024 (2 updates tracked since 2024).

About Complete Care Of St Gabriel Llc NPPES

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

COMPLETE CARE OF ST GABRIEL LLC (NPI 1407679921) is a healthcare organization registered as a rural health in Saint Gabriel, Louisiana and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists John C Duke, Coo, as its authorized official.

NPPES Registry Identity

NPI1407679921
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOMPLETE CARE OF ST GABRIEL LLC
Location Address735 HIGHWAY 30 BLDG 1Saint Gabriel, LA 70776-5015
Mailing Address215 Katherine Dr Ste AFlowood, MS 39232-9588 · (601) 665-4162 · Fax (855) 830-3484
Phone(601) 665-4162
Fax(855) 830-3484
Organization SubpartNo
Authorized OfficialJohn C DukeCoo · (601) 665-4162
Enumeration DateNovember 4, 2024
Last NPPES UpdateFebruary 19, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1407679921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
735 HIGHWAY 30 BLDG 1, Saint Gabriel, LA 70776
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Complete Care Of St Gabriel Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Complete Care Of St Gabriel LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner8
Clinical Social Worker2

Clinicians, nearest first (10)

Ashley Lee, FNP-C
Nurse Practitioner
NPI 1700365731
735 HIGHWAY 30 BLDG 1
Saint Gabriel, LA 70776
(225) 314-9314
✔ PECOSSame address
Brittany Jones
Nurse Practitioner
NPI 1891156584
3837 MONTE VISTA DR
Addis, LA 70710
(225) 776-7261
✔ PECOS✔ Accepts Medicare11 mi
Kela Spikes-Bickham, DNP
Nurse Practitioner
NPI 1578953139
112 INNWOOD DR STE H
Covington, LA 70433
(985) 893-0693
✔ PECOS✔ Accepts Medicare61 mi
Chalayne Beaubouef, LCSW
Clinical Social Worker
NPI 1801261656
715 HIGHWAY 1207
Deville, LA 71328
(318) 466-8335
✔ PECOS✔ Accepts Medicare98 mi
Delise Wilridge
Clinical Social Worker
NPI 1790417863
4105 KIRKMANST ST
Lake Charles, LA 70607
(337) 475-8022
✔ PECOS✔ Accepts Medicare126 mi
Kayla Lonidier, FNP-C
Nurse Practitioner
NPI 1609615293
3402 HIGHWAY 490
Lena, LA 71447
(318) 419-5147
✔ PECOS✔ Accepts Medicare131 mi
Tori Walker, FNP-C
Nurse Practitioner
NPI 1871149252
804 N BEECH ST
Tallulah, LA 71282
(318) 574-5314
✔ PECOS✔ Accepts Medicare146 mi
Charisma Cummings, PCNP
Nurse Practitioner
NPI 1992227177
102 RIVERVIEW DRIVE SUITE A
Flowood, MS 39232
(601) 981-1610
✔ PECOS✔ Accepts Medicare152 mi
Jada Davis, NP
Nurse Practitioner
NPI 1659057040
1050 N FLOWOOD DR STE A2
Flowood, MS 39232
(601) 688-8027
✔ PECOS✔ Accepts Medicare153 mi
Sharlene Sullivan, FNP
Nurse Practitioner
NPI 1013437086
2408 BROADMOOR BLVD STE B
Monroe, LA 71201
(318) 807-0525
✔ PECOS✔ Accepts Medicare165 mi

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

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 19D2322180

Complete Care · Saint Gabriel, LA
Active · expires Apr 15, 2027
CLIA Number19D2322180
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorAnuj Marya
Laboratory Phone(601) 613-7001
Laboratory LocationComplete Care735 Hwy 30, Saint Gabriel, LA 70776
CLIA data matches this NPI record on: Address 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 Complete Care Of St Gabriel LLC's NPI number?

The NPI number for Complete Care Of St Gabriel LLC is 1407679921. It was assigned to this organization in the NPPES registry on November 4, 2024.

Where is Complete Care Of St Gabriel LLC located?

Complete Care Of St Gabriel LLC is located at 735 Highway 30 Bldg 1, Saint Gabriel, LA 70776. The listed phone number is (601) 665-4162.

What is Complete Care Of St Gabriel LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Complete Care Of St Gabriel LLC enrolled in Medicare?

Yes. Complete Care Of St Gabriel LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Complete Care Of St Gabriel LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Complete Care Of St Gabriel LLC. 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 Nurse Practitioner (8) and Clinical Social Worker (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Complete Care Of St Gabriel LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2322180) is associated with this NPI, valid through April 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Complete Care Of St Gabriel LLC was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.