WK ACADEMIC MEDICINE CLINIC
NPI 1992375844
Internal Medicine in Shreveport, LA

Active since July 01, 2021CLIA 19D2229045 · Waiver
2751 ALBERT L BICKNELL DR STE 2D, SHREVEPORT, LA 71103(318) 212-4232(318) 212-4257 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2022, Jul 1, 2021 (2 updates tracked since 2021).

About Wk Academic Medicine Clinic NPPES

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

WK ACADEMIC MEDICINE CLINIC (NPI 1992375844) is a healthcare organization registered as an internal medicine in Shreveport, Louisiana and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through July 5, 2027 and lists Mathew Wheeler, Revenue Contract Manager, as its authorized official.

NPPES Registry Identity

NPI1992375844
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWK ACADEMIC MEDICINE CLINIC
Location Address2751 ALBERT L BICKNELL DR STE 2DShreveport, LA 71103-3939
Mailing Address2751 Albert L Bicknell Dr Ste 2dShreveport, LA 71103-3939 · (318) 212-4232 · Fax (318) 212-4257
Fax(318) 212-4257
Organization SubpartNo
Authorized OfficialMathew WheelerRevenue Contract Manager · (318) 716-4939
Enumeration DateJuly 1, 2021
Last NPPES UpdateFebruary 28, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2022
NPI 1992375844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2751 ALBERT L BICKNELL DR STE 2D, Shreveport, LA 71103

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

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 19D2229045

Wk Academic Medicine Clinic · Shreveport, LA
Active · expires Jul 5, 2027
CLIA Number19D2229045
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorEric D. Thomas
Laboratory Phone(318) 212-4232
Laboratory LocationWk Academic Medicine Clinic2751 Albert Bicknell Drive, Suite 3A, Shreveport, LA 71103
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
2751 ALBERT L BICKNELL DR STE 2D
SHREVEPORT, LA 71103
Nurse Practitioner
2751 ALBERT L BICKNELL DR STE 2D
SHREVEPORT, LA 71103

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 Academic Medicine Clinic's NPI number?

The NPI number for Wk Academic Medicine Clinic is 1992375844. It was assigned to this organization in the NPPES registry on July 1, 2021.

Where is Wk Academic Medicine Clinic located?

Wk Academic Medicine Clinic is located at 2751 Albert L Bicknell Dr Ste 2D, Shreveport, LA 71103. The listed phone number is (318) 212-4232.

What is Wk Academic Medicine Clinic's specialty?

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

Does Wk Academic Medicine Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2229045) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wk Academic Medicine Clinic accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Wk Academic Medicine Clinic 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 Academic Medicine Clinic was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.