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

Southern Medical Services of Louisiana, LLC

Organization Nurse Practitioner · NPI 1225453335

Southern Medical Services of Louisiana, LLC is a Nurse Practitioner in Bastrop, Louisiana. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1523 Texas Ave
Bastrop, LA 71220-4043
Phone: (318) 281-0078
Fax: (318) 281-2753
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1225453335
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Gladney — Owner · (318) 281-0078
NPI enumeratedFebruary 26, 2014
Last updated in NPPESFebruary 26, 2014
Mailing address1523 Texas Ave, Bastrop, LA 71220-4043

Other providers in Bastrop