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WALLS MEDICINE CLINIC LLC
NPI 1497937601
Internal Medicine in Shreveport, LA

Active since November 29, 2007CLIA 19D0989847 · Waiver
1801 FAIRFIELD AVE. STE 200, SHREVEPORT, LA 71101(318) 675-1800(318) 675-1818 Get Directions Write a Review

NPPES record last updated: November 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2018, Oct 30, 2018 (2 updates tracked since 2018).

About Walls Medicine Clinic Llc NPPES

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

WALLS MEDICINE CLINIC LLC (NPI 1497937601) is a healthcare organization registered as an internal medicine in Shreveport, Louisiana and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Wendell E. Wall, Owner, as its authorized official.

NPPES Registry Identity

NPI1497937601
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWALLS MEDICINE CLINIC LLC
Location Address1801 FAIRFIELD AVE. STE 200Shreveport, LA 71101
Mailing Address1801 Fairfield Ave. Ste 200Shreveport, LA 71101 · (318) 675-1800 · Fax (318) 675-1818
Phone(318) 675-1800
Fax(318) 675-1818
Organization SubpartNo
Authorized OfficialWendell E. WallOwner · (318) 675-1800
Enumeration DateNovember 29, 2007
Last NPPES UpdateNovember 9, 20182 updates tracked since enumeration
✔ NPI 1497937601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 11458R
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1801 FAIRFIELD AVE. STE 200, Shreveport, LA 71101
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Other Identifiers 1

Medicaid1663841LA

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

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 19D0989847

Walls Medical Clinic · Shreveport, LA
Active · expires Jun 8, 2028
CLIA Number19D0989847
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorWendell E. Wall
Laboratory Phone(318) 675-1800
Laboratory LocationWalls Medical Clinic1801 Fairfield Avenue, Suite 200, Shreveport, LA 71101
CLIA data matches this NPI record on: Address Phone
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 Walls Medicine Clinic LLC's NPI number?

The NPI number for Walls Medicine Clinic LLC is 1497937601. It was assigned to this organization in the NPPES registry on November 29, 2007.

Where is Walls Medicine Clinic LLC located?

Walls Medicine Clinic LLC is located at 1801 Fairfield Ave. Ste 200, Shreveport, LA 71101. The listed phone number is (318) 675-1800.

What is Walls Medicine Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Walls Medicine Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0989847) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walls Medicine Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Walls Medicine Clinic 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 Walls Medicine Clinic LLC was last updated on November 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.