WK GYNECOLOGIC ONCOLOGY CLINIC
NPI 1740493923
Obstetrics & Gynecology - Gynecologic Oncology in Shreveport, LA

Active since May 07, 2007CLIA 19D1072267 · Waiver
2600 KINGS HWY, SUITE 420, SHREVEPORT, LA 71103(318) 212-8727(318) 212-8771 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wk Gynecologic Oncology Clinic NPPES

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

WK GYNECOLOGIC ONCOLOGY CLINIC (NPI 1740493923) is a healthcare organization registered as a gynecologic oncology in Shreveport, Louisiana and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 12, 2027 and lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1740493923
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameWK GYNECOLOGIC ONCOLOGY CLINIC
Location Address2600 KINGS HWY, SUITE 420Shreveport, LA 71103-3950
Mailing Address2600 Kings Hwy, Suite 420Shreveport, LA 71103-3950 · (318) 212-8727 · Fax (318) 212-8771
Fax(318) 212-8771
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-4232
Enumeration DateMay 7, 2007
Last NPPES UpdateJune 8, 2012
✔ NPI 1740493923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
2600 KINGS HWY, Shreveport, LA 71103

Other Identifiers 2

Medicaid1021601LA
Medicare PIN5CY13LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wk Gynecologic Oncology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20070713000387Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Wk Gynecologic Oncology Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Gynecological Oncology
NPI 1306062625
2600 KINGS HWY SUITE 420
Shreveport, LA 71103
(318) 212-8727
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1811973431
2600 KINGS HWY STE 420
Shreveport, LA 71103
(318) 212-8727
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1427088988
2400 HOSPITAL DR SUITE 240
Bossier City, LA 71111
(318) 742-5800
✔ PECOS✔ Accepts Medicare6.4 mi

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 19D1072267

Wk Gynecologic Oncology Clinic · Shreveport, LA
Active · expires Aug 12, 2027
CLIA Number19D1072267
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorDestin Black, MD
Laboratory Phone(318) 212-8727
Laboratory LocationWk Gynecologic Oncology Clinic2600 Kings Highway, Suite 420, Shreveport, LA 71103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Wk Gynecologic Oncology Clinic's NPI number?

The NPI number for Wk Gynecologic Oncology Clinic is 1740493923. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Wk Gynecologic Oncology Clinic located?

Wk Gynecologic Oncology Clinic is located at 2600 Kings Hwy Suite 420, Shreveport, LA 71103. The listed phone number is (318) 212-8727.

What is Wk Gynecologic Oncology Clinic's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Wk Gynecologic Oncology Clinic enrolled in Medicare?

Yes. Wk Gynecologic Oncology Clinic is registered in the Medicare PECOS enrollment system.

When is Wk Gynecologic Oncology Clinic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Wk Gynecologic Oncology Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wk Gynecologic Oncology Clinic, in Gynecological Oncology and Obstetrics/Gynecology. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wk Gynecologic Oncology Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1072267) is associated with this NPI, valid through August 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wk Gynecologic Oncology Clinic 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 Wk Gynecologic Oncology Clinic 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 Wk Gynecologic Oncology Clinic was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.