Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Green Clinic LLC

Family Medicine Physician in Ruston, LA · enumerated 2006 · authorized official Lori Keen, Ceo.

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

National Provider Identifier

1831178755

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Registry record

Entity type Organization (Type 2)

Legal business name Green Clinic LLC

Practice address 1200 S Farmerville St, Ruston, LA, 71270

Phone (318) 255-3690

Enumeration date Jan 10, 2006

Last updated in NPPES Feb 22, 2024

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary

204C00000X Sports Medicine (Neuromusculoskeletal Medicine) Physician Allopathic & Osteopathic Physicians Secondary

204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians Secondary

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207U00000X Nuclear Medicine Physician Allopathic & Osteopathic Physicians Secondary

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Secondary

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

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

2083P0500X Preventive Medicine/Occupational Environmental Medicine Physician Allopathic & Osteopathic Physicians Secondary

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

Authorized official

Name Lori Keen

Title Ceo

Phone (318) 251-6304

Other identifiers

Identifier	Type	State	Issuer
1006858	Medicaid	LA	-
=========	Other	LA	BCBS GROUP
CS0281	Other	LA	RR MEDICARE GROUP
06185	Other	LA	BCBS GROUP

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-02-22. Verify at npiregistry.cms.hhs.gov.

Where is Green Clinic LLC located?

The practice location on file with NPPES is in Ruston, LA.

Providers at this address

Browse all →

Green Clinic LLC Clinical Medical Laboratory · Ruston, LA NPI 1457330185 Ronald Anders Gynecology Physician · Ruston, LA NPI 1235109315 Thomas Brantley Family Medicine Physician · Ruston, LA NPI 1578533683 Greene Butler Surgery Physician · Ruston, LA NPI 1619947629 Marlene Daher Pediatrics Physician · Ruston, LA NPI 1952371965 Terry Gardner Family Medicine Physician · Ruston, LA NPI 1689644585 Dean Kirby Family Medicine Physician · Ruston, LA NPI 1275503161 Derek Mcclusky Surgery Physician · Ruston, LA NPI 1184694903

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-22.