OrganizationActive
Desoto Physicians & Surgeons Clinic
NPI 1649304122 · Surgery Physician · Mansfield, LA
Desoto Physicians & Surgeons Clinic is a Surgery Physician organization in Mansfield, LA (NPI 1649304122).
Provider details
- NPI number
- 1649304122
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tammy Kennedy, Director of Clinics Phys Srcs(318) 872-4610
- License
- 025688 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
119 Jefferson St
Mansfield, LA 71052-2601
Phone: (318) 872-5810
Fax: (318) 872-2763
Street-level locationGet directions
Mailing address
119 Jefferson St
Mansfield, LA 71052-2601
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2008-08-19
Frequently asked questions
- What is Desoto Physicians & Surgeons Clinic's NPI number?
- Desoto Physicians & Surgeons Clinic's National Provider Identifier (NPI) is 1649304122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Desoto Physicians & Surgeons Clinic?
- Desoto Physicians & Surgeons Clinic is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Desoto Physicians & Surgeons Clinic located?
- Desoto Physicians & Surgeons Clinic's practice location on file with NPPES is 119 Jefferson St, Mansfield, LA 71052-2601.
- What is Desoto Physicians & Surgeons Clinic's phone number?
- The practice phone number listed in the NPPES registry for Desoto Physicians & Surgeons Clinic is (318) 872-5810.
- Who is the authorized official for Desoto Physicians & Surgeons Clinic?
- The authorized official listed on Desoto Physicians & Surgeons Clinic's NPPES record is Tammy Kennedy, Director of Clinics Phys Srcs. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Desoto Physicians & Surgeons Clinic's NPI active?
- Yes — Desoto Physicians & Surgeons Clinic's NPI (1649304122) is active in the NPPES registry as of the last update on 2008-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.