BYRD MEDICAL CLINIC INC
NPI 1801895495
Family Medicine in Leesville, LA

Active since July 18, 2005
700 S 6TH ST, LEESVILLE, LA 71446(337) 392-6200 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2021, Aug 30, 2018 (2 updates tracked since 2018).

About Byrd Medical Clinic Inc NPPES

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

BYRD MEDICAL CLINIC INC (NPI 1801895495) is a healthcare organization registered as a family medicine in Leesville, Louisiana and active in the NPI registry since July 2005. The organization maintains a secondary practice location in Leesville and lists Ashley Crockett Wiley, Mso Director, as its authorized official.

NPPES Registry Identity

NPI1801895495
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBYRD MEDICAL CLINIC INC
Location Address700 S 6TH STLeesville, LA 71446-4719
Mailing Address700 S 6th StLeesville, LA 71446-4719
Organization SubpartNo
Authorized OfficialAshley Crockett WileyMso Director · (337) 392-6200
Enumeration DateJuly 18, 2005
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1801895495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
700 S 6TH ST, Leesville, LA 71446

Secondary Practice Location 1

Location 11020 W Fertitta BlvdLeesville, LA 71446 · Phone (877) 848-1457

Other Identifiers 1

Medicaid1944718LA

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

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)

Byrd Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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 IDO20040921000710Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Byrd Medical Clinic Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Internal Medicine6
Nurse Practitioner5
Family Practice4
Orthopedic Surgery2
Otolaryngology2
Pulmonary Disease2
Urology2
Cardiovascular Disease (Cardiology)1
5 other specialties5

Nearest to this location (20)

See all 29
Urology
NPI 1164457198
700 S 6TH ST
Leesville, LA 71446
(337) 238-0620
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1447238266
506 S 6TH ST
Leesville, LA 71446
(337) 239-0989
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1992211676
506 S 6TH ST STE A
Leesville, LA 71446
(337) 239-9041
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1447262639
201 S ARKANSAS ST
Leesville, LA 71446
(337) 239-7227
✔ PECOS0.2 mi
Family Practice
NPI 1700916095
1017 W FERTITTA BLVD
Leesville, LA 71446
(337) 238-4511
✔ PECOS0.3 mi
Internal Medicine
NPI 1336401157
1201 W FERTITTA BLVD
Leesville, LA 71446
(337) 392-9438
✔ PECOS0.3 mi
Diagnostic Radiology
NPI 1528008695
1020 W FERTITTA BLVD
Leesville, LA 71446
(337) 239-9041
✔ PECOS✔ Accepts Medicare0.3 mi
Urology
NPI 1730055310
1020 W FERTITTA BLVD
Leesville, LA 71446
(337) 238-0620
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1821594763
1020 W FERTITTA BLVD
Leesville, LA 71446
(337) 392-6203
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1619595337
908 S 10TH ST STE A
Leesville, LA 71446
(337) 392-2330
✔ PECOS0.4 mi
Pathology
NPI 1942527775
1112 PORT ARTHUR TER DEPARTMENT OF PATHOLOGY
Leesville, LA 71446
(337) 238-9133
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1710699129
1106 PORT ARTHUR TER
Leesville, LA 71446
(337) 404-4075
✔ PECOS✔ Accepts Medicare0.5 mi
Orthopedic Surgery
NPI 1346216694
500 S 6TH ST STE A
Leesville, LA 71446
(337) 239-8000
✔ PECOS0.6 mi
Internal Medicine
NPI 1326294745
8088 HAWKS RD
Leesville, LA 71446
(337) 462-8880
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1174982524
427 N PINE ST
Deridder, LA 70634
(337) 462-6471
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1598114423
427 N PINE ST
Deridder, LA 70634
(337) 348-1558
✔ PECOS20 mi
Family Practice
NPI 1548422181
1100 NOLAN TRACE PARKWAY
Leesville, LA 71446
(337) 238-5180
✔ PECOS25 mi
Cardiovascular Disease (Cardiology)
NPI 1669441283
2108 TEXAS AVE STE 2061
Alexandria, LA 71301
(318) 448-1041
✔ PECOS✔ Accepts Medicare49 mi
Family Practice
NPI 1225324775
821 ELLIOTT STREET
Alexandria, LA 71301
(318) 441-1030
✔ PECOS50 mi
Pulmonary Disease
NPI 1366676074
524 DR MICHAEL DEBAKEY DR
Lake Charles, LA 70601
(337) 494-0032
✔ PECOS✔ Accepts Medicare64 mi
See all 29 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Byrd Medical Clinic Inc's NPI number?

The NPI number for Byrd Medical Clinic Inc is 1801895495. It was assigned to this organization in the NPPES registry on July 18, 2005.

Where is Byrd Medical Clinic Inc located?

Byrd Medical Clinic Inc is located at 700 S 6th St, Leesville, LA 71446. The listed phone number is (337) 392-6200.

What is Byrd Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Byrd Medical Clinic Inc enrolled in Medicare?

Yes. Byrd Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

When is Byrd Medical Clinic Inc'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 February 28, 2027. 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 Byrd Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 13 Medicare specialties reassign their Medicare billing to Byrd Medical Clinic Inc. 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 Internal Medicine (6), Nurse Practitioner (5) and Family Practice (4). Of these, 1 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Byrd Medical Clinic Inc 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 Byrd Medical Clinic Inc 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 Byrd Medical Clinic Inc was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.