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PARTNERS IN PRIMARY CARE- BOSSIER CITY
NPI 1760005136
Internal Medicine in Bossier City, LA

Active since May 20, 2020CLIA 19D2186079 · Waiver
2900 E TEXAS ST STE 100, BOSSIER CITY, LA 71111(318) 606-6737(833) 749-0343 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2022, Feb 23, 2021, Oct 22, 2020 and 1 more (4 updates tracked since 2020).

About Partners In Primary Care- Bossier City NPPES

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

PARTNERS IN PRIMARY CARE- BOSSIER CITY (NPI 1760005136) is a healthcare organization registered as an internal medicine in Bossier City, Louisiana and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1760005136
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (LA) PC
Location Address2900 E TEXAS ST STE 100Bossier City, LA 71111-3275
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(318) 606-6737
Fax(833) 749-0343
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMay 20, 2020
Last NPPES UpdateNovember 7, 20224 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1760005136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
2900 E TEXAS ST STE 100, Bossier City, LA 71111
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Other Names 3

Doing Business AsPartners In Primary Care- Bossier City
Doing Business AsCenterwell Senior Primary Care-bossier City
Former Legal Business NamePartners In Primary Care La Pc

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

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 19D2186079

Centerwell Senior Primary Care-Bossier City · Bossier City, LA
Active · expires Jun 14, 2028
CLIA Number19D2186079
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorEarl Magee
Laboratory Phone(318) 606-6737
Laboratory LocationCenterwell Senior Primary Care-Bossier City2900 E Texas St, Suite 100, Bossier City, LA 71111
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 4

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

AMY A STINSON AG-ACNP-BC
Nurse Practitioner (Acute Care)
2900 E TEXAS ST STE 100
BOSSIER CITY, LA 71111
Bossier Parish (318) 606-6737
KRISTI G WILLIAMS APRN, FNP-C
Nurse Practitioner (Family)
2900 E TEXAS ST STE 100
BOSSIER CITY, LA 71111
Bossier Parish (318) 606-6737
CHAITANYA UNDAVALLI
Internal Medicine
2900 E TEXAS ST STE 100
BOSSIER CITY, LA 71111
Bossier Parish (318) 606-6737
DR. JANE TSUNG-WEN WONG FUTTERER MD
Internal Medicine
2900 E TEXAS ST STE 100
BOSSIER CITY, LA 71111
Bossier Parish (504) 977-2712

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 Centerwell Senior Primary Care (la) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (la) PC is 1760005136. It was assigned to this organization in the NPPES registry on May 20, 2020. The provider is doing business as Partners In Primary Care- Bossier City and CenterWell Senior Primary Care-Bossier City. The provider was formerly known as Partners in Primary Care LA PC.

Where is Centerwell Senior Primary Care (la) PC located?

Centerwell Senior Primary Care (la) PC is located at 2900 E Texas St Ste 100, Bossier City, LA 71111. The listed phone number is (318) 606-6737.

What is Centerwell Senior Primary Care (la) PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care (la) PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2186079) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care (la) PC was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.