Wk Pediatric Health & Wellness
NPI 1063072197 · Pediatrics Physician · Shreveport, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wk Pediatric Health & Wellness is a Pediatrics Physician organization in Shreveport, LA (NPI 1063072197).
Provider details
- NPI number
- 1063072197
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Gavin, Network Administrator(318) 212-8951
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- 2019-06-20
- Last updated
- 2019-06-20
Frequently asked questions
- What is Wk Pediatric Health & Wellness's NPI number?
- Wk Pediatric Health & Wellness's National Provider Identifier (NPI) is 1063072197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wk Pediatric Health & Wellness?
- Wk Pediatric Health & Wellness is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Wk Pediatric Health & Wellness located?
- Wk Pediatric Health & Wellness's practice location on file with NPPES is 909 Olive St, Shreveport, LA 71104-2103.
- What is Wk Pediatric Health & Wellness's phone number?
- The practice phone number listed in the NPPES registry for Wk Pediatric Health & Wellness is (318) 698-3291.
- Does Wk Pediatric Health & Wellness accept Medicare?
- Wk Pediatric Health & Wellness 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 Wk Pediatric Health & Wellness?
- The authorized official listed on Wk Pediatric Health & Wellness's NPPES record is Greg Gavin, Network Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wk Pediatric Health & Wellness's NPI active?
- Yes — Wk Pediatric Health & Wellness's NPI (1063072197) is active in the NPPES registry as of the last update on 2019-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.