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

Jack D Fair, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568673028

Jack D Fair, MD is a Family Practice in Natchitoches, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
19
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2007
Specialties on file
2
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

615 Bienville St
Natchitoches, LA 71457-5730
Phone: (318) 352-6800
Fax: (318) 352-6803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 202650 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568673028
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 25, 2007
Last updated in NPPESMarch 31, 2010
Mailing address615 Bienville St, Natchitoches, LA 71457-5730

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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