SOUTH BOSSIER MEDICAL
NPI 1649993585
Clinic/Center - Rural Health in Bossier City, LA
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
Specialties & Licenses 3
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)
South Bossier Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to South Bossier Medical, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Vivian, LA 71082
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 Compliance 19D2294094
South Bossier Medical · Bossier City, 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 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.
Is South Bossier Medical enrolled in Medicare?
Yes. South Bossier Medical is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Bossier Medical?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to South Bossier Medical. 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 Nurse Practitioner (5), Emergency Medicine (1) and Family Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 3 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 October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.
# South Bossier Medical · NPI 1649993585
Rural Health organization in Bossier City, Louisiana. Organization record, active in the CMS NPPES registry since September 26, 2022.
## Identity
- **NPI:** 1649993585 (Entity type: Organization)
- **Enumerated:** September 26, 2022
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** Yes (part of North Caddo Hospital Service District)
- **Authorized official:** David Jones, CEO
## Practice location
- **Address:** 5668 BARKSDALE BLVD, Bossier City, LA 71112
- **Phone:** (318) 735-1800 · **Fax:** (318) 725-4960
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Emergency Medicine (1), Family Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649993585) · Data from the CMS NPPES public registry.