WK COMMUNITY HEALTH CLINIC
NPI 1558393371
Family Medicine in Shreveport, LA

Active since July 06, 2006
4700 SHREVEPORT BLANCHARD HWY, SHREVEPORT, LA 71107(318) 221-1001(318) 221-1044 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wk Community Health Clinic NPPES

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

WK COMMUNITY HEALTH CLINIC (NPI 1558393371) is a healthcare organization registered as a family medicine in Shreveport, Louisiana and active in the NPI registry since July 2006. The organization lists Greg J Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1558393371
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWK COMMUNITY HEALTH CLINIC
Location Address4700 SHREVEPORT BLANCHARD HWYShreveport, LA 71107-4702
Mailing Address1202 Louisiana AveShreveport, LA 71101-3910 · (318) 221-1001 · Fax (318) 221-1044
Fax(318) 221-1044
Organization SubpartNo
Authorized OfficialGreg J GavinNetwork Administrator · (318) 221-1001
Enumeration DateJuly 6, 2006
Last NPPES UpdateJune 8, 2012
✔ NPI 1558393371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDentistTaxonomy 122300000X
4700 SHREVEPORT BLANCHARD HWY, Shreveport, LA 71107

Other Identifiers 2

Medicaid1449539LA
Medicare PIN5C848LA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wk Community Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wk Community Health Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1881620003
4700 SHREVEPORT BLANCHARD HWY
Shreveport, LA 71107
(318) 221-1001
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1134516578
1327 PIERRE AVE
Shreveport, LA 71103
(318) 212-8624
✔ PECOS✔ Accepts Medicare5.3 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 Wk Community Health Clinic's NPI number?

The NPI number for Wk Community Health Clinic is 1558393371. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Wk Community Health Clinic located?

Wk Community Health Clinic is located at 4700 Shreveport Blanchard Hwy, Shreveport, LA 71107. The listed phone number is (318) 221-1001.

What is Wk Community Health Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wk Community Health Clinic enrolled in Medicare?

Yes. Wk Community Health Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wk Community Health Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Wk Community Health Clinic. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wk Community Health Clinic accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Wk Community Health Clinic 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 Wk Community Health Clinic was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.