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ISLAND MEDICAL WINNSBORO LLC
NPI 1538515135
Emergency Medicine in Winnsboro, LA

Active since May 12, 2016
2106 LOOP RD, WINNSBORO, LA 71295(844) 474-4019 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2023, Jul 31, 2020, Jun 3, 2020 and 1 more (4 updates tracked since 2016).

About Island Medical Winnsboro Llc NPPES

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

ISLAND MEDICAL WINNSBORO LLC (NPI 1538515135) is a healthcare organization registered as an emergency medicine in Winnsboro, Louisiana and active in the NPI registry since May 2016. The organization maintains a secondary practice location in Olla and lists Amy Charley, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1538515135
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameISLAND MEDICAL WINNSBORO LLC
Location Address2106 LOOP RDWinnsboro, LA 71295-3344
Mailing Address12420 Milestone Center Dr Ste 200Germantown, MD 20876-7111 · (240) 686-2300
Phone(844) 474-4019
Organization SubpartNo
Authorized OfficialAmy CharleyChief Legal Officer · (240) 686-2300
Enumeration DateMay 12, 2016
Last NPPES UpdateFebruary 24, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1538515135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2106 LOOP RD, Winnsboro, LA 71295
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Secondary Practice Location 1

Location 11102 N Pine RdOlla, LA 71465-4804 · Phone (844) 474-4019

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)

Island Medical Winnsboro Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Island Medical Winnsboro LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Emergency Medicine15
Family Practice4
General Surgery1
Internal Medicine1

Nearest to this location (20)

See all 21
Louie Crook, M. D.
Emergency Medicine
NPI 1811926470
309 JACKSON ST
Monroe, LA 71201
(318) 327-4000
✔ PECOS✔ Accepts Medicare34 mi
Michael Rommen, DO
Emergency Medicine
NPI 1164865036
309 JACKSON ST
Monroe, LA 71201
(318) 966-4000
✔ PECOS✔ Accepts Medicare34 mi
Tommy Banks, MD
Family Practice
NPI 1952693830
5328 CYPRESS ST
West Monroe, LA 71291
(318) 966-1640
✔ PECOS✔ Accepts Medicare38 mi
Dennis Sullivan, M.D.
Emergency Medicine
NPI 1861421265
703 COMANCHE TRL
West Monroe, LA 71291
(318) 396-4828
✔ PECOS41 mi
Carter Quayle, MD
Emergency Medicine
NPI 1528010154
301 W BOUNDARY AVE
Winnfield, LA 71483
(318) 325-6971
✔ PECOS✔ Accepts Medicare57 mi
Russel Smith, MD
Family Practice
NPI 1184685158
5900 COLISEUM BLVD
Alexandria, LA 71303
(318) 386-8110
✔ PECOS✔ Accepts Medicare76 mi
Paul Petty, M.D.
Emergency Medicine
NPI 1932391091
1225 N STATE ST
Jackson, MS 39202
(318) 286-9787
✔ PECOS✔ Accepts Medicare90 mi
Kimberly Mckay, M.D.
Emergency Medicine
NPI 1386844066
317 HIGHWAY 13 S
Morton, MS 39117
(601) 732-6301
✔ PECOS✔ Accepts Medicare120 mi
Steven Holt, MD
Emergency Medicine
NPI 1578549622
2400 HOSPITAL DR
Bossier City, LA 71111
(318) 212-7500
✔ PECOS✔ Accepts Medicare121 mi
David Easterling, MD
Emergency Medicine
NPI 1427187111
2510 BERT KOUNS INDUSTRIAL LOOP
Shrevport, LA 71118
(318) 212-5500
✔ PECOS✔ Accepts Medicare124 mi
Derrick Brooks, MD
Internal Medicine
NPI 1679686158
7777 HENNESSY BLVD SUITE 208
Baton Rouge, LA 70808
(225) 765-8826
✔ PECOS✔ Accepts Medicare126 mi
Gary Mall, MD
Emergency Medicine
NPI 1568491330
15790 PAUL VEGA MD DR
Hammond, LA 70403
(985) 230-1362
✔ PECOS✔ Accepts Medicare138 mi
Tracy Mack, MD
Emergency Medicine
NPI 1982866935
300 EAST 6TH STREET
Texarkana, AR 71854
(870) 779-6004
✔ PECOS✔ Accepts Medicare162 mi
Michael Sonier, M.D.
Family Practice
NPI 1912341579
1700 BRAZOS AVE
Rockdale, TX 76567
(512) 481-7060
✔ PECOS✔ Accepts Medicare331 mi
Caren Becker, MD
Emergency Medicine
NPI 1568652758
17201 COLLINS AVE #1702
Sunny Isles Beach, FL 33160
(214) 868-6300
✔ PECOS✔ Accepts Medicare821 mi
Wesley Vanderlan, MD
General Surgery
NPI 1609097898
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
✔ PECOS✔ Accepts Medicare848 mi
Jennifer Bakar, M.D.
Family Practice
NPI 1467864488
1 GENESYS PKWY
Grand Blanc, MI 48439
(810) 606-5126
✔ PECOS✔ Accepts Medicare862 mi
Brandon Lewis, D.O.
Emergency Medicine
NPI 1710950696
2545 SCHOENERSVILLE RD
Bethlehem, PA 18017
(484) 884-3017
✔ PECOS1,078 mi
Aarti Attreya-Latuso, MD
Emergency Medicine
NPI 1538514799
2020 6TH AVE
Neptune, NJ 07753
(732) 696-7654
✔ PECOS✔ Accepts Medicare1,129 mi
De'shauris Bradford, M.D.
Emergency Medicine
NPI 1942688841
75 N COUNTRY RD
Port Jefferson, NY 11777
(631) 686-2549
✔ PECOS✔ Accepts Medicare1,198 mi
See all 21 clinicians

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

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 Island Medical Winnsboro LLC's NPI number?

The NPI number for Island Medical Winnsboro LLC is 1538515135. It was assigned to this organization in the NPPES registry on May 12, 2016.

Where is Island Medical Winnsboro LLC located?

Island Medical Winnsboro LLC is located at 2106 Loop Rd, Winnsboro, LA 71295. The listed phone number is (844) 474-4019.

What is Island Medical Winnsboro LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Island Medical Winnsboro LLC enrolled in Medicare?

Yes. Island Medical Winnsboro LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Island Medical Winnsboro LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 4 Medicare specialties reassign their Medicare billing to Island Medical Winnsboro 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 Emergency Medicine (15), Family Practice (4) and General Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Island Medical Winnsboro LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Island Medical Winnsboro 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 Island Medical Winnsboro LLC was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.