Green Clinic LLC
NPI 1831178755 · Family Medicine Physician · Ruston, LA
Enrolled with Medicare as Dme Supplier - Multi-Specialty - Physician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Green Clinic LLC is a Family Medicine Physician organization in Ruston, LA (NPI 1831178755).
Provider details
- NPI number
- 1831178755
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Keen, Ceo(318) 251-6304
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Allopathic & Osteopathic Physicians
- Oral & Maxillofacial Surgery (D.M.D.)204E00000X
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Nuclear Medicine Physician207U00000X
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
7 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 (6)
- 4707 Quitman HwyHodge, LA 71247Phone: (318) 395-1168Fax: (318) 395-1170
- 620 E College StHomer, LA 71040-3202Phone: (318) 927-2024
- 3 Medical Plaza PlMinden, LA 71055-3330Phone: (318) 639-4001Fax: (318) 639-4002
- 1402 Celebrity DrRuston, LA 71270-3878Phone: (318) 255-1515Fax: (318) 255-2866
- 411 E Vaughn Ave Ste 103Ruston, LA 71270-5975Phone: (318) 255-9414Fax: (318) 255-9434
- 411 E Vaughn Ave Ste 200Ruston, LA 71270-5977Phone: (318) 232-1570Fax: (318) 251-6230
Registry dates
- Enumerated
- 2006-01-10
- Last updated
- 2024-02-22
- Certified
- 2024-02-22
Frequently asked questions
- What is Green Clinic LLC's NPI number?
- Green Clinic LLC's National Provider Identifier (NPI) is 1831178755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Clinic LLC?
- Green Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Green Clinic LLC located?
- Green Clinic LLC's practice location on file with NPPES is 1200 S Farmerville St, Ruston, LA 71270-5941.
- What is Green Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Green Clinic LLC is (318) 255-3690.
- Does Green Clinic LLC accept Medicare?
- Green Clinic 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 Green Clinic LLC?
- The authorized official listed on Green Clinic LLC's NPPES record is Lori Keen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Clinic LLC's NPI active?
- Yes — Green Clinic LLC's NPI (1831178755) is active in the NPPES registry as of the last update on 2024-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.