SPINE INSTITUTE OF LOUISIANA
NPI 1629369210
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Shreveport, LA
About Spine Institute Of Louisiana NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPINE INSTITUTE OF LOUISIANA (NPI 1629369210) is a healthcare organization registered as an orthopaedic surgery of the spine in Shreveport, Louisiana and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Pierce D. Nunley, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Spine Institute Of Louisiana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Spine Institute Of Louisiana, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
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 19D2101124
Spine Institute Of Louisiana · Shreveport, LAFrequently 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 Spine Institute Of Louisiana LLC's NPI number?
The NPI number for Spine Institute Of Louisiana LLC is 1629369210. It was assigned to this organization in the NPPES registry on April 29, 2011. The provider is doing business as Spine Institute Of Louisiana.
Where is Spine Institute Of Louisiana LLC located?
Spine Institute Of Louisiana LLC is located at 1500 Line Ave Suite 200, Shreveport, LA 71101. The listed phone number is (318) 629-5555.
What is Spine Institute Of Louisiana LLC's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.
Is Spine Institute Of Louisiana LLC enrolled in Medicare?
Yes. Spine Institute Of Louisiana LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spine Institute Of Louisiana LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Spine Institute Of Louisiana 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 Diagnostic Radiology (6), Nurse Practitioner (4) and Neurosurgery (3). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Spine Institute Of Louisiana LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2101124) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Spine Institute Of Louisiana LLC 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 Spine Institute Of Louisiana 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 Spine Institute Of Louisiana LLC was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Spine Institute Of Louisiana · NPI 1629369210
Orthopaedic Surgery of the Spine organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since April 29, 2011.
## Identity
- **NPI:** 1629369210 (Entity type: Organization)
- **Enumerated:** April 29, 2011
- **Primary specialty:** Orthopaedic Surgery - Orthopaedic Surgery of the Spine · taxonomy 207XS0117X
- **Legal business name:** Spine Institute Of Louisiana Llc
- **Organization subpart:** No
- **Authorized official:** Pierce Nunley, MEDICAL DIRECTOR
## Practice location
- **Address:** 1500 LINE AVE, SUITE 200, Shreveport, LA 71101-4639
- **Phone:** (318) 629-5555 · **Fax:** (318) 629-5556
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (6), Nurse Practitioner (4), Neurosurgery (3); 7 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629369210) · Data from the CMS NPPES public registry.