SPINE INSTITUTE OF LOUISIANA
NPI 1629369210
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Shreveport, LA

Active since April 29, 2011CLIA 19D2101124 · Waiver
1500 LINE AVE, SUITE 200, SHREVEPORT, LA 71101(318) 629-5555(318) 629-5556 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2024, May 5, 2023 (2 updates tracked since 2023).

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

NPI1629369210
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameSPINE INSTITUTE OF LOUISIANA LLC
Location Address1500 LINE AVE, SUITE 200Shreveport, LA 71101-4639
Mailing Address1500 Line Ave, Suite 200Shreveport, LA 71101-4639 · (318) 629-5555 · Fax (318) 629-5556
Fax(318) 629-5556
Organization SubpartNo
Authorized OfficialPierce D. NunleyMedical Director · (318) 629-5555
Enumeration DateApril 29, 2011
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1629369210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

1500 LINE AVE, Shreveport, LA 71101

Other Names 1

Doing Business AsSpine Institute Of Louisiana

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

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, LA
Active · expires Aug 26, 2027
CLIA Number19D2101124
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorPierce D. Nunley
Laboratory Phone(318) 629-5555
Laboratory LocationSpine Institute Of Louisiana1500 Line Avenue, Suite 200, Shreveport, LA 71101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Physical Therapist (Orthopedic)
1500 LINE AVE
SHREVEPORT, LA 71101
Physical Therapist
1500 LINE AVE
SHREVEPORT, LA 71101
Orthopaedic Surgery
1500 LINE AVE, SUITE 100
SHREVEPORT, LA 71101
1500 LINE AVE
SHREVEPORT, LA 71101
Nurse Anesthetist, Certified Registered
1500 LINE AVE
SHREVEPORT, LA 71101
1500 LINE AVE, SUITE 200
SHREVEPORT, LA 71101
Registered Nurse
1500 LINE AVE
SHREVEPORT, LA 71101
Orthopaedic Surgery
1500 LINE AVE, SUITE 100
SHREVEPORT, LA 71101

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 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.

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 Blue Cross and Blue Shield of Louisiana and HMO Louisiana 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 with the weekly NPPES data releases published by CMS.