Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GREEN CLINIC LLC
NPI 1831178755
Family Medicine in Ruston, LA

Active since January 10, 2006CLIA 19D1026659 · Waiver
1200 S FARMERVILLE ST, RUSTON, LA 71270(318) 255-3690 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2023, Jan 24, 2023, Apr 23, 2019 (3 updates tracked since 2019).

About Green Clinic Llc NPPES

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

GREEN CLINIC LLC (NPI 1831178755) is a healthcare organization registered as a family medicine in Ruston, Louisiana and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through June 9, 2028, maintains 5 additional practice locations, and lists Clayton Lee Norman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1831178755
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREEN CLINIC LLC
Location Address1200 S FARMERVILLE STRuston, LA 71270-5941
Mailing Address1200 S Farmerville StRuston, LA 71270-5941 · (318) 255-3690
Organization SubpartNo
Authorized OfficialClayton Lee NormanAdministrator · (318) 251-6343
Enumeration DateJanuary 10, 2006
Last NPPES UpdateOctober 22, 20263 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1831178755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNuclear MedicineTaxonomy 207U00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPodiatristTaxonomy 213E00000X
1200 S FARMERVILLE ST, Ruston, LA 71270

Secondary Practice Locations 5

Location 1620 E College StHomer, LA 71040-3202 · Phone (318) 927-2024
Location 2411 E Vaughn Ave Ste 200Ruston, LA 71270-5977 · Phone (318) 232-1570 · Fax (318) 251-6230
Location 31420 Commerce StRuston, LA 71270-6653 · Phone (318) 255-3762
Location 44707 Quitman HwyHodge, LA 71247 · Phone (318) 395-1168 · Fax (318) 395-1170
Location 5411 E Vaughn Ave Ste 103Ruston, LA 71270-5975 · Phone (318) 255-9414 · Fax (318) 255-9434

Other Identifiers 3

Medicaid1006858LA
OtherCS0281LA · Rr Medicare Group
Other06185LA · Bcbs Group

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)

Green Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Green Clinic LLC, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner10
Internal Medicine4
Diagnostic Radiology3
General Surgery3
Pediatric Medicine3
Cardiovascular Disease (Cardiology)2
Urology2
Critical Care (Intensivists)1
8 other specialties8

Nearest to this location (20)

See all 36
General Surgery
NPI 1548824873
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245200880
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1982787099
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-9630
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1952371965
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOSSame address
Neurology
NPI 1780654186
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700385622
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992162622
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104399393
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1760452650
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1184694903
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1689644379
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1831758630
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 251-6240
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1811286099
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1164492484
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1801867130
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1992776231
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1336108877
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 251-6390
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164804936
1200 S FARMERVILLE ST
Ruston, LA 71270
(318) 255-3690
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437937125
401 E VAUGHN AVE
Ruston, LA 71270
(318) 254-2100
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1790783322
411 E VAUGHN AVE SUITE 103
Ruston, LA 71270
(318) 255-9414
✔ PECOS✔ Accepts Medicare0.6 mi
See all 36 clinicians

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 19D1026659

Green Clinic Jonesboro · Hodge, LA
Active · expires Jun 9, 2028
CLIA Number19D1026659
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorShane M. Mcvay
Laboratory Phone(318) 395-1168
Laboratory LocationGreen Clinic Jonesboro4707 Quitman Highway, Hodge, LA 71247
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 Green Clinic LLC's NPI number?

The NPI number for Green Clinic LLC is 1831178755. It was assigned to this organization in the NPPES registry on January 10, 2006.

Where is Green Clinic LLC located?

Green Clinic LLC is located at 1200 S Farmerville St, Ruston, LA 71270. The listed phone number is (318) 255-3690.

What is Green Clinic LLC's specialty?

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

Is Green Clinic LLC enrolled in Medicare?

Yes. Green Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Green Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 16 Medicare specialties reassign their Medicare billing to Green Clinic LLC. 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 (10), Internal Medicine (4) and Diagnostic Radiology (3). Of these, 18 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Green Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1026659) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Green Clinic LLC 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 2 other insurers list Green Clinic LLC 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 Green Clinic LLC was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.