SOUTH LOUISIANA PRIMARY CARE LLC
NPI 1447705074
Family Medicine in Baker, LA
About South Louisiana Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH LOUISIANA PRIMARY CARE LLC (NPI 1447705074) is a healthcare organization registered as a family medicine in Baker, Louisiana and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Dustin Allen Logue, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Louisiana Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to South Louisiana Primary Care LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 19D2132966
South Louisiana Primary Care, LLC · Baker, 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 South Louisiana Primary Care LLC's NPI number?
The NPI number for South Louisiana Primary Care LLC is 1447705074. It was assigned to this organization in the NPPES registry on August 24, 2016.
Where is South Louisiana Primary Care LLC located?
South Louisiana Primary Care LLC is located at 12902 Plank Rd, Baker, LA 70714. The listed phone number is (225) 218-4816.
What is South Louisiana Primary Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is South Louisiana Primary Care LLC enrolled in Medicare?
Yes. South Louisiana Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Louisiana Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to South Louisiana Primary Care 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 (4) and Internal Medicine (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Louisiana Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2132966) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Louisiana Primary Care LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list South Louisiana Primary Care 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 South Louisiana Primary Care LLC was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# South Louisiana Primary Care Llc · NPI 1447705074
Family Medicine organization in Baker, Louisiana. Organization record, active in the CMS NPPES registry since August 24, 2016.
## Identity
- **NPI:** 1447705074 (Entity type: Organization)
- **Enumerated:** August 24, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Dustin Logue, OWNER
## Practice location
- **Address:** 12902 PLANK RD, Baker, LA 70714-4911
- **Phone:** (225) 218-4816 · **Fax:** (225) 302-5057
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Internal Medicine (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2024
- **Other identifiers:** Medicaid 2110691 (LA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447705074) · Data from the CMS NPPES public registry.