Lsu Health Sciences Center Shreveport Faculty Group Practice
NPI 1013374222 · Family Medicine Physician · Shreveport, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lsu Health Sciences Center Shreveport Faculty Group Practice is a Family Medicine Physician organization in Shreveport, LA (NPI 1013374222).
Provider details
- NPI number
- 1013374222
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mitzi Green, Director(318) 626-0000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Oral & Maxillofacial Surgery (D.M.D.)204E00000X
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Neurological Surgery Physician207T00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-01-19
- Last updated
- 2023-06-28
- Certified
- 2023-06-28
Frequently asked questions
- What is Lsu Health Sciences Center Shreveport Faculty Group Practice's NPI number?
- Lsu Health Sciences Center Shreveport Faculty Group Practice's National Provider Identifier (NPI) is 1013374222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lsu Health Sciences Center Shreveport Faculty Group Practice?
- Lsu Health Sciences Center Shreveport Faculty Group Practice is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lsu Health Sciences Center Shreveport Faculty Group Practice located?
- Lsu Health Sciences Center Shreveport Faculty Group Practice's practice location on file with NPPES is 1541 Kings Hwy, Shreveport, LA 71103-4228.
- What is Lsu Health Sciences Center Shreveport Faculty Group Practice's phone number?
- The practice phone number listed in the NPPES registry for Lsu Health Sciences Center Shreveport Faculty Group Practice is (318) 626-0000.
- Does Lsu Health Sciences Center Shreveport Faculty Group Practice accept Medicare?
- Lsu Health Sciences Center Shreveport Faculty Group Practice is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lsu Health Sciences Center Shreveport Faculty Group Practice?
- The authorized official listed on Lsu Health Sciences Center Shreveport Faculty Group Practice's NPPES record is Mitzi Green, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lsu Health Sciences Center Shreveport Faculty Group Practice's NPI active?
- Yes — Lsu Health Sciences Center Shreveport Faculty Group Practice's NPI (1013374222) is active in the NPPES registry as of the last update on 2023-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.