WK PIERRE AVE COMMUNITY HEALTH EDUCATION AND WELLNESS CENTER
NPI 1881626513
Family Medicine in Shreveport, LA

Q: What is Wk Pierre Ave Community Health Education And Wellness Center's specialty?

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

Active since July 06, 2006

1327 PIERRE AVE, SHREVEPORT, LA 71103(318) 212-8624(318) 226-8545 Get Directions Write a Review

NPPES record last updated: May 14, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Wk Pierre Ave Community Health Education And Wellness Center NPPES

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

WK PIERRE AVE COMMUNITY HEALTH EDUCATION AND WELLNESS CENTER (NPI 1881626513) is a healthcare organization registered as a family medicine in Shreveport, Louisiana and active in the NPI registry since July 2006. The organization lists Greg J Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1881626513

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWK PIERRE AVE COMMUNITY HEALTH EDUCATION AND WELLNESS CENTER

Location Address1327 PIERRE AVEShreveport, LA 71103-3056

Mailing Address1327 Pierre AveShreveport, LA 71103-3056 · (318) 212-8624 · Fax (318) 226-8545

Phone(318) 212-8624

Fax(318) 226-8545

Organization SubpartNo

Authorized OfficialGreg J GavinNetwork Administrator · (318) 212-8624

Enumeration DateJuly 6, 2006

Last NPPES UpdateMay 14, 2014

✔ NPI 1881626513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1327 PIERRE AVE, Shreveport, LA 71103

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Other Identifiers 2

Medicaid1447188LA

Medicare PIN5CJ83LA

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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)

Wk Pierre Ave Community Health Education And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wk Pierre Ave Community Health Education And Wellness Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Sophia Shokouh-Amiri, MD

Family Practice

NPI 1134516578

1327 PIERRE AVE
Shreveport, LA 71103

(318) 212-8624

✔ PECOS✔ Accepts MedicareSame address

Tymwa Dixon, MD

Family Practice

NPI 1881620003

4700 SHREVEPORT BLANCHARD HWY
Shreveport, LA 71107

(318) 221-1001

✔ PECOS✔ Accepts Medicare5.2 mi

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 Wk Pierre Ave Community Health Education And Wellness Center's NPI number?

The NPI number for Wk Pierre Ave Community Health Education And Wellness Center is 1881626513. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Wk Pierre Ave Community Health Education And Wellness Center located?

Wk Pierre Ave Community Health Education And Wellness Center is located at 1327 Pierre Ave, Shreveport, LA 71103. The listed phone number is (318) 212-8624.

What is Wk Pierre Ave Community Health Education And Wellness Center's specialty?

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

Is Wk Pierre Ave Community Health Education And Wellness Center enrolled in Medicare?

Yes. Wk Pierre Ave Community Health Education And Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wk Pierre Ave Community Health Education And Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Wk Pierre Ave Community Health Education And Wellness Center. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wk Pierre Ave Community Health Education And Wellness Center 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 Pierre Ave Community Health Education And Wellness Center 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 Pierre Ave Community Health Education And Wellness Center was last updated on May 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.