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

Dr. Llewellyn Simon, MD

Individual provider Internal Medicine Physician · NPI 1063494128

Dr. Llewellyn Simon, MD is an Internal Medicine in Lake Providence, Louisiana. Qualified in 1990, 36 years ago. Practices with East Carroll Parish Hospital, a 38-clinician group. Licensed in Louisiana.

Years since qualifying
36
Licensed in
LA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

320 N Hood St
Lake Providence, LA 71254-2140
Phone: (318) 559-2404
Fax: (318) 559-2430
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 11828R (LA)

Record details

NPI number1063494128
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESOctober 16, 2019
Mailing address320 N Hood St, Lake Providence, LA 71254-2140

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice East Carroll Parish Hospital — 38 clinicians
Accepts Medicare assignment Not indicated

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