Mid State Orthopaedic & Sports Medicine Center, LLC
NPI 1104890052 · Orthopaedic Surgery Physician · Alexandria, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mid State Orthopaedic & Sports Medicine Center, LLC is a Orthopaedic Surgery Physician organization in Alexandria, LA (NPI 1104890052).
Provider details
- NPI number
- 1104890052
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nakita Hickman, Credentialing Manager(318) 441-8329
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Other names (DBA / former)
- Former legal business name
- Mid-State Orthopaedic & Sports Medicine Center Inc
- Former legal business name
- Mid-State Orthopaedic & Sports Medicine Center Inc
Additional practice locations (1)
- 429 Rocky Bayou DrPineville, LA 71360-8133Phone: (318) 441-8329
Registry dates
- Enumerated
- 2006-02-16
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Frequently asked questions
- What is Mid State Orthopaedic & Sports Medicine Center, LLC's NPI number?
- Mid State Orthopaedic & Sports Medicine Center, LLC's National Provider Identifier (NPI) is 1104890052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid State Orthopaedic & Sports Medicine Center, LLC?
- Mid State Orthopaedic & Sports Medicine Center, LLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mid State Orthopaedic & Sports Medicine Center, LLC located?
- Mid State Orthopaedic & Sports Medicine Center, LLC's practice location on file with NPPES is 3444 Masonic Drive, Alexandria, LA 71301.
- What is Mid State Orthopaedic & Sports Medicine Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mid State Orthopaedic & Sports Medicine Center, LLC is (318) 473-9556.
- Does Mid State Orthopaedic & Sports Medicine Center, LLC accept Medicare?
- Mid State Orthopaedic & Sports Medicine Center, LLC 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 Mid State Orthopaedic & Sports Medicine Center, LLC?
- The authorized official listed on Mid State Orthopaedic & Sports Medicine Center, LLC's NPPES record is Nakita Hickman, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid State Orthopaedic & Sports Medicine Center, LLC's NPI active?
- Yes — Mid State Orthopaedic & Sports Medicine Center, LLC's NPI (1104890052) is active in the NPPES registry as of the last update on 2026-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.