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

South Shreveport Family Medicine, LLC

Organization Family Medicine Physician · NPI 1013217595

South Shreveport Family Medicine, LLC is a Family Medicine Physician in Shreveport, Louisiana. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
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

8660 Fern Ave Ste 105
Shreveport, LA 71105-5657
Phone: (318) 797-0009
Fax: (318) 797-0092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1013217595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Barnes — Fnp · (318) 349-6728
NPI enumeratedOctober 29, 2010
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing address530 Red Baron Dr, Shreveport, LA 71115-3052

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