PRIMECARE DIRECT LLC
NPI 1538057567
Family Medicine - Geriatric Medicine in Shreveport, LA

Q: What is Primecare Direct LLC's NPI number?

The NPI number for Primecare Direct LLC is 1538057567. It was assigned to this organization in the NPPES registry on June 26, 2025.

Q: What is Primecare Direct LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since June 26, 2025CLIA 19D2344041 · Waiver

955 PIERREMONT RD STE 400, SHREVEPORT, LA 71106(318) 562-3868(318) 409-1565 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Primecare Direct Llc NPPES

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

PRIMECARE DIRECT LLC (NPI 1538057567) is a healthcare organization registered as a geriatric medicine in Shreveport, Louisiana and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through May 14, 2028 and lists Tri Pham, Owner, as its authorized official.

NPPES Registry Identity

NPI1538057567

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NamePRIMECARE DIRECT LLC

Location Address955 PIERREMONT RD STE 400Shreveport, LA 71106-2096

Mailing Address955 Pierremont Rd Ste 400Shreveport, LA 71106-2096 · (318) 562-3868 · Fax (318) 409-1565

Phone(318) 562-3868

Fax(318) 409-1565

Organization SubpartNo

Authorized OfficialTri PhamOwner · (318) 617-6708

Enumeration DateJune 26, 2025

Last NPPES UpdateJune 27, 2025

NPPES CertifiedJune 27, 2025

✔ NPI 1538057567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

955 PIERREMONT RD STE 400, Shreveport, LA 71106

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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

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primecare Direct Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Primecare Direct LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Tri Pham, MD

Family Practice

NPI 1952628802

133 CHARLES AVE
Shreveport, LA 71105

(318) 617-6708

✔ PECOS✔ Accepts Medicare2.4 mi

Faraz Alwani, M.D.

Family Practice

NPI 1104352921

8650 MILLICENT WAY
Shreveport, LA 71115

(186) 428-1003

✔ PECOS✔ Accepts Medicare3.1 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 19D2344041

Primercare Direct · Shreveport, LA

Active · expires May 14, 2028

CLIA Number19D2344041

Laboratory TypePhysician Office

Certificate Effective DateMay 15, 2026

Certificate Expiration DateMay 14, 2028

Laboratory DirectorFaraz F. Alwani

Laboratory Phone(318) 562-3868

Laboratory LocationPrimercare Direct955 Pierremont Rd Suite 400, Shreveport, LA 71106

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 Primecare Direct LLC's NPI number?

The NPI number for Primecare Direct LLC is 1538057567. It was assigned to this organization in the NPPES registry on June 26, 2025.

Where is Primecare Direct LLC located?

Primecare Direct LLC is located at 955 Pierremont Rd Ste 400, Shreveport, LA 71106. The listed phone number is (318) 562-3868.

What is Primecare Direct LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Primecare Direct LLC enrolled in Medicare?

Yes. Primecare Direct LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primecare Direct LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Primecare Direct 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Primecare Direct LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2344041) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primecare Direct LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Primecare Direct 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 Primecare Direct LLC was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.