DEER CREEK MEDICAL CENTER
NPI 1902835150
Family Medicine in Leesville, LA

Active since July 01, 2006
301 W FERTITTA BLVD STE 1, LEESVILLE, LA 71446(337) 238-0167(337) 238-0574 Get Directions Write a Review

NPPES record last updated: May 24, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Deer Creek Medical Center NPPES

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

DEER CREEK MEDICAL CENTER (NPI 1902835150) is a healthcare organization registered as a family medicine in Leesville, Louisiana and active in the NPI registry since July 2006. The organization lists Lisa Thompson, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1902835150
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEER CREEK MEDICAL CENTER
Location Address301 W FERTITTA BLVD STE 1Leesville, LA 71446-4665
Mailing Address301 W Fertitta Blvd Ste 1Leesville, LA 71446-4665 · (337) 238-0167 · Fax (337) 238-0574
Fax(337) 238-0574
Organization SubpartNo
Authorized OfficialLisa ThompsonBusiness Manager · (337) 238-0167
Enumeration DateJuly 1, 2006
Last NPPES UpdateMay 24, 2011
✔ NPI 1902835150 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.
301 W FERTITTA BLVD STE 1, Leesville, LA 71446

Other Identifiers 3

Other=========0LA · Blue Cross Blue Shield
Medicare ID-Type Unspecified5CP17
Medicaid1949477LA

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

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)

Deer Creek Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 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 IDO20050321000045Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Deer Creek Medical 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 (4)

General Practice
NPI 1639162290
301 W FERTITTA BLVD STE 1
Leesville, LA 71446
(337) 238-0167
✔ PECOSSame address
Nurse Practitioner
NPI 1871046128
103 W UNIVERSITY PKWY
Leesville, LA 71446
(337) 239-2600
✔ PECOS0.2 mi
Internal Medicine
NPI 1326294745
8088 HAWKS RD
Leesville, LA 71446
(337) 462-8880
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1548422181
1100 NOLAN TRACE PARKWAY
Leesville, LA 71446
(337) 238-5180
✔ PECOS25 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 Deer Creek Medical Center's NPI number?

The NPI number for Deer Creek Medical Center is 1902835150. It was assigned to this organization in the NPPES registry on July 1, 2006.

Where is Deer Creek Medical Center located?

Deer Creek Medical Center is located at 301 W Fertitta Blvd Ste 1, Leesville, LA 71446. The listed phone number is (337) 238-0167.

What is Deer Creek Medical Center's specialty?

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

Is Deer Creek Medical Center enrolled in Medicare?

Yes. Deer Creek Medical Center is registered in the Medicare PECOS enrollment system.

When is Deer Creek Medical Center'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 March 31, 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 Deer Creek Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Deer Creek Medical Center, in Family Practice, General Practice, Internal Medicine and Nurse Practitioner. 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.

When was this NPI record last updated?

The NPPES record for Deer Creek Medical Center was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.