Highland Clinic, a Prof Med Corp
NPI 1053315846 · Multi-Specialty Clinic/Center · Shreveport, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Highland Clinic, a Prof Med Corp is a Multi-Specialty Clinic/Center organization in Shreveport, LA (NPI 1053315846).
Provider details
- NPI number
- 1053315846
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Gustavson, Administrator(318) 798-4465
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 1114 Homer RdMinden, LA 71055-3028Phone: (318) 798-4616Fax: (318) 798-4619
- 2806 Mark DrMonroe, LA 71201-5152Phone: (318) 460-5127Fax: (318) 460-1967
- 1200 S Farmerville StRuston, LA 71270-5941Phone: (318) 224-2228Fax: (318) 202-6552
Registry dates
- Enumerated
- 2005-06-09
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Highland Clinic, a Prof Med Corp's NPI number?
- Highland Clinic, a Prof Med Corp's National Provider Identifier (NPI) is 1053315846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Highland Clinic, a Prof Med Corp?
- Highland Clinic, a Prof Med Corp is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Highland Clinic, a Prof Med Corp located?
- Highland Clinic, a Prof Med Corp's practice location on file with NPPES is 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634.
- What is Highland Clinic, a Prof Med Corp's phone number?
- The practice phone number listed in the NPPES registry for Highland Clinic, a Prof Med Corp is (318) 798-4500.
- Does Highland Clinic, a Prof Med Corp accept Medicare?
- Highland Clinic, a Prof Med Corp 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 Highland Clinic, a Prof Med Corp?
- The authorized official listed on Highland Clinic, a Prof Med Corp's NPPES record is Michael Gustavson, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Highland Clinic, a Prof Med Corp's NPI active?
- Yes — Highland Clinic, a Prof Med Corp's NPI (1053315846) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.