Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mid State Orthopaedic & Sports Medicine Center, LLC

Organization Orthopaedic Surgery Physician · NPI 1104890052

Mid State Orthopaedic & Sports Medicine Center, LLC is an Orthopaedic Surgery Physician in Alexandria, Louisiana. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3444 Masonic Dr
Alexandria, LA 71301
Phone: (318) 473-9556
Fax: (318) 441-8339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 429 Rocky Bayou Dr, Pineville, LA 71360-8133 — (318) 441-8329

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1104890052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nakita Hickman — Credentialing Manager · (318) 441-8329
Other names Mid-State Orthopaedic & Sports Medicine Center Inc; Mid-State Orthopaedic & Sports Medicine Center Inc
NPI enumeratedFebruary 16, 2006
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address3444 Masonic Drive, Alexandria, LA 71301

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