EAR NOSE & THROAT CENTER A MEDICAL CORPORATION
NPI 1649350968
Otolaryngology in Shreveport, LA
About Ear Nose & Throat Center A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAR NOSE & THROAT CENTER A MEDICAL CORPORATION (NPI 1649350968) is a healthcare organization registered as an otolaryngology in Shreveport, Louisiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists W. Juan Watkins, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Ear Nose & Throat Center A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Ear Nose & Throat Center A Medical Corporation, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 19D0983739
Ear Nose & Throat Center, Amc · 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 Ear Nose & Throat Center A Medical Corporation's NPI number?
The NPI number for Ear Nose & Throat Center A Medical Corporation is 1649350968. It was assigned to this organization in the NPPES registry on October 17, 2006.
Where is Ear Nose & Throat Center A Medical Corporation located?
Ear Nose & Throat Center A Medical Corporation is located at 2121 Line Ave, Shreveport, LA 71104. The listed phone number is (318) 226-9441.
What is Ear Nose & Throat Center A Medical Corporation's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Ear Nose & Throat Center A Medical Corporation enrolled in Medicare?
Yes. Ear Nose & Throat Center A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ear Nose & Throat Center A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Ear Nose & Throat Center A Medical Corporation. 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 Otolaryngology (6) and Qualified Audiologist (4). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ear Nose & Throat Center A Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D0983739) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ear Nose & Throat Center A Medical Corporation accept?
Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Ear Nose & Throat Center A Medical Corporation 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 Ear Nose & Throat Center A Medical Corporation was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ear Nose & Throat Center A Medical Corporation · NPI 1649350968
Otolaryngology organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1649350968 (Entity type: Organization)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Organization subpart:** No
- **Authorized official:** W. Juan Watkins, PRESIDENT
## Practice location
- **Address:** 2121 LINE AVE, Shreveport, LA 71104-2126
- **Phone:** (318) 226-9441 · **Fax:** (318) 425-3236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (6), Qualified Audiologist (4); 9 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2007
- **Other identifiers:** Medicaid 1122262 (LA); Medicare ID-Type Unspecified 5C056 (LA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649350968) · Data from the CMS NPPES public registry.