South Bossier Medical
NPI 1649993585 · Rural Health Clinic/Center · Bossier City, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Bossier Medical is a Rural Health Clinic/Center organization in Bossier City, LA (NPI 1649993585).
Provider details
- NPI number
- 1649993585
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- North Caddo Hospital Service District
- Organization subpart
- Yes
- Authorized official
- David Jones, Ceo(318) 375-4001
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-09-26
- Last updated
- 2024-12-09
- Certified
- 2024-12-09
Frequently asked questions
- What is South Bossier Medical's NPI number?
- South Bossier Medical's National Provider Identifier (NPI) is 1649993585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Bossier Medical?
- South Bossier Medical is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Bossier Medical located?
- South Bossier Medical's practice location on file with NPPES is 5668 Barksdale Blvd, Bossier City, LA 71112.
- What is South Bossier Medical's phone number?
- The practice phone number listed in the NPPES registry for South Bossier Medical is (318) 735-1800.
- Does South Bossier Medical accept Medicare?
- South Bossier Medical 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 South Bossier Medical?
- The authorized official listed on South Bossier Medical's NPPES record is David Jones, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Bossier Medical's NPI active?
- Yes — South Bossier Medical's NPI (1649993585) is active in the NPPES registry as of the last update on 2024-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.