South Shreveport Internal Medicine
NPI 1982635249 · Internal Medicine Physician · Shreveport, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Shreveport Internal Medicine is a Internal Medicine Physician organization in Shreveport, LA (NPI 1982635249).
Provider details
- NPI number
- 1982635249
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Gavin, Network Administrator(318) 212-4232
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
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
Mailing address
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2022-08-30
- Certified
- 2022-08-30
Frequently asked questions
- What is South Shreveport Internal Medicine's NPI number?
- South Shreveport Internal Medicine's National Provider Identifier (NPI) is 1982635249, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Shreveport Internal Medicine?
- South Shreveport Internal Medicine is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is South Shreveport Internal Medicine located?
- South Shreveport Internal Medicine's practice location on file with NPPES is 2508 Bert Kouns Industrial Loop, Shreveport, LA 71118-3133.
- What is South Shreveport Internal Medicine's phone number?
- The practice phone number listed in the NPPES registry for South Shreveport Internal Medicine is (318) 212-5991.
- Does South Shreveport Internal Medicine accept Medicare?
- South Shreveport Internal Medicine 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 Shreveport Internal Medicine?
- The authorized official listed on South Shreveport Internal Medicine'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 South Shreveport Internal Medicine's NPI active?
- Yes — South Shreveport Internal Medicine's NPI (1982635249) is active in the NPPES registry as of the last update on 2022-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.