LOUISIANA FAMILY MEDICINE CLINIC 1
NPI 1548538200
Clinic/Center in Jonesboro, LA

Active since December 09, 2011
103 WATTS ST, JONESBORO, LA 71251(318) 259-1569(318) 259-8523 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Louisiana Family Medicine Clinic 1 NPPES

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

LOUISIANA FAMILY MEDICINE CLINIC 1 (NPI 1548538200) is a healthcare organization registered as a clinic/center in Jonesboro, Louisiana and active in the NPI registry since December 2011. The organization lists Dirk Timothy Rainwater, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548538200
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLOUISIANA FAMILY MEDICINE CLINIC 1
Location Address103 WATTS STJonesboro, LA 71251-2053
Mailing Address103 Watts StJonesboro, LA 71251-2053 · (318) 259-1569 · Fax (318) 259-8523
Fax(318) 259-8523
Organization SubpartNo
Authorized OfficialDirk Timothy RainwaterCeo · (318) 560-3486
Enumeration DateDecember 9, 2011
Last NPPES UpdateJune 18, 2015
✔ NPI 1548538200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in LA · 025000
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 025000 (LA)
103 WATTS ST, Jonesboro, LA 71251

Other Identifiers 3

Medicaid2344188LA
Medicare NSC7323630001LA
Medicare PIN5DX99LA

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)

Louisiana Family Medicine Clinic 1 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Louisiana Family Medicine Clinic 1, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Family Practice4
Nurse Practitioner4
Emergency Medicine1
General Practice1

Clinicians, nearest first (10)

Family Practice
NPI 1043286230
103 WATTS ST
Jonesboro, LA 71251
(318) 259-1569
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1497702880
902 S VIENNA ST
Ruston, LA 71270
(318) 551-4311
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1801082920
5751 SHED RD STE 120
Bossier City, LA 71111
(318) 935-1922
✔ PECOS58 mi
Emergency Medicine
NPI 1831123132
323 WEST WALNUT
Bastrop, LA 71220
(800) 893-9698
✔ PECOS✔ Accepts Medicare59 mi
Family Practice
NPI 1568950160
2890 DOUGLAS DR # 100
Bossier City, LA 71111
(318) 742-6900
✔ PECOS✔ Accepts Medicare61 mi
Nurse Practitioner
NPI 1518479948
2890 DOUGLAS DR
Bossier City, LA 71111
(318) 742-6900
✔ PECOS✔ Accepts Medicare61 mi
Nurse Practitioner
NPI 1891420931
2890 DOUGLAS DR # 100
Bossier City, LA 71111
(318) 742-6900
✔ PECOS✔ Accepts Medicare61 mi
General Practice
NPI 1548767437
5341 AIRLINE DRIVE SUITE 100
Bossier City, LA 71111
(318) 935-1810
✔ PECOS63 mi
Nurse Practitioner
NPI 1134014939
1648 CARTER ST STE 2
Vidalia, LA 71373
(318) 414-2315
✔ PECOS✔ Accepts Medicare88 mi
Family Practice
NPI 1265500490
706 ROSS STREET
Oak Grove, LA 71263
(318) 428-3237
✔ PECOS✔ Accepts Medicare89 mi

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 Louisiana Family Medicine Clinic 1's NPI number?

The NPI number for Louisiana Family Medicine Clinic 1 is 1548538200. It was assigned to this organization in the NPPES registry on December 9, 2011.

Where is Louisiana Family Medicine Clinic 1 located?

Louisiana Family Medicine Clinic 1 is located at 103 Watts St, Jonesboro, LA 71251. The listed phone number is (318) 259-1569.

What is Louisiana Family Medicine Clinic 1's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Louisiana Family Medicine Clinic 1 enrolled in Medicare?

Yes. Louisiana Family Medicine Clinic 1 is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Louisiana Family Medicine Clinic 1?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Louisiana Family Medicine Clinic 1. 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 Family Practice (4), Nurse Practitioner (4) and Emergency Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Louisiana Family Medicine Clinic 1 accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Louisiana Family Medicine Clinic 1 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 Louisiana Family Medicine Clinic 1 was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.