Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mid State Orthopaedic & Sports Medicine Center, LLC

Orthopaedic Surgery Physician in Alexandria, LA · enumerated 2006 · authorized official Nakita Hickman, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104890052

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Mid State Orthopaedic & Sports Medicine Center, LLC

Other name <Unavail>

Practice address 3444 Masonic Drive, Alexandria, LA, 71301

Phone (318) 473-9556

Fax (318) 441-8339

Enumeration date Feb 16, 2006

Last updated in NPPES Mar 24, 2026

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Primary

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Nakita Hickman

Title Credentialing Manager

Phone (318) 441-8329

Other identifiers

Identifier	Type	State	Issuer
0570570001	Other	LA	MEDICARE DME GROUP #
CD7720	Other	LA	RAILROAD MEDICARE PALMETT
1946320	Medicaid	LA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Mid State Orthopaedic & Sports Medicine Center, LLC?

Mid State Orthopaedic & Sports Medicine Center, LLC is registered in NPPES as a Orthopaedic Surgery Physician (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-24.