1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Family Medicine
  6. NPI Profile

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

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: August 09, 2026.

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
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

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTINE M DAVIS OD
Optometrist
955 PIERREMONT RD STE 400
SHREVEPORT, LA 71106
Caddo Parish (318) 868-6118
A MILLION BROWNIES LLC
Clinic/Center (Infusion Therapy)
955 PIERREMONT RD STE 400
SHREVEPORT, LA 71106
Caddo Parish (734) 233-4071

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.

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.

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 13 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.