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SOUTH BOSSIER MEDICAL
NPI 1649993585
Clinic/Center - Rural Health in Bossier City, LA

Active since September 26, 2022CLIA 19D2294094 · Certificate of Compliance
5668 BARKSDALE BLVD, BOSSIER CITY, LA 71112(318) 735-1800(318) 725-4960 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Sep 30, 2024, Jun 7, 2024 and 3 more (6 updates tracked since 2022).

About South Bossier Medical NPPES

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

SOUTH BOSSIER MEDICAL (NPI 1649993585) is a healthcare organization registered as a rural health in Bossier City, Louisiana and active in the NPI registry since September 2022. The organization holds a CLIA Certificate of Compliance certificate valid through May 16, 2028 and lists David Jones, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649993585
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTH BOSSIER MEDICAL
Location Address5668 BARKSDALE BLVDBossier City, LA 71112
Mailing Address5260 Barksdale BlvdBossier City, LA 71112
Phone(318) 735-1800
Fax(318) 725-4960
Organization SubpartYesParent: North Caddo Hospital Service District
Authorized OfficialDavid JonesCeo · (318) 375-4001
Enumeration DateSeptember 26, 2022
Last NPPES UpdateDecember 9, 20246 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1649993585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
5668 BARKSDALE BLVD, Bossier City, LA 71112
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 Compliance 19D2294094

South Bossier Medical · Bossier City, LA
Active · expires May 16, 2028
CLIA Number19D2294094
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorCharles G. Guest
Laboratory Phone(318) 735-1800
Laboratory LocationSouth Bossier Medical5668 Barksdale Blvd, Bossier City, LA 71112
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

CATHERINE SHARPE
Family Medicine
5668 BARKSDALE BLVD
BOSSIER CITY, LA 71112
Bossier Parish (318) 735-1800
NORTH CADDO MEDICAL CENTER COMMUNITY RX
Pharmacy (Community/Retail Pharmacy)
5668 BARKSDALE BLVD
BOSSIER CITY, LA 71112
Bossier Parish (318) 725-2530
MRS. SUMMER LEIGH ROBIN APRN,FNP
Nurse Practitioner (Family)
5668 BARKSDALE BLVD
BOSSIER CITY, LA 71112
Bossier Parish (318) 735-1800

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 South Bossier Medical's NPI number?

The NPI number for South Bossier Medical is 1649993585. It was assigned to this organization in the NPPES registry on September 26, 2022.

Where is South Bossier Medical located?

South Bossier Medical is located at 5668 Barksdale Blvd, Bossier City, LA 71112. The listed phone number is (318) 735-1800.

What is South Bossier Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does South Bossier Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 19D2294094) is associated with this NPI, valid through May 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Bossier Medical accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list South Bossier Medical 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 South Bossier Medical was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.