Green Clinic LLC
Green Clinic LLC is a healthcare organization registered as Family Medicine Physician in Ruston, LA, holding Type 2 (organization) NPI 1831178755 since 2006. The authorized official on file is Lori Keen, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1831178755 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Green Clinic LLC |
| Practice address | 1200 S FARMERVILLE ST, Ruston, LA, 71270 |
| Phone | 3182553690 |
| Enumeration date | 2006-01-10 |
| Last updated in NPPES | 2024-02-22 |
Authorized official
| Name | Lori Keen |
|---|---|
| Title | Ceo |
| Phone | 3182516304 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 133V00000X | Registered Dietitian | Secondary | — | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | Secondary | — | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | Secondary | — | — |
| 207N00000X | Dermatology Physician | Secondary | — | — |
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 207U00000X | Nuclear Medicine Physician | Secondary | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | Secondary | — | — |
| 207W00000X | Ophthalmology Physician | Secondary | — | — |
| 207X00000X | Orthopaedic Surgery Physician | Secondary | — | — |
| 207Y00000X | Otolaryngology Physician | Secondary | — | — |
| 208000000X | Pediatrics Physician | Secondary | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | Secondary | — | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | Secondary | — | — |
| 213E00000X | Podiatrist | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006858 | Medicaid | LA | — |
| ========= | Other | LA | BCBS GROUP |
| CS0281 | Other | LA | RR MEDICARE GROUP |
| 06185 | Other | LA | BCBS GROUP |
Copy-ready billing details
Provider: Green Clinic LLC NPI: 1831178755 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 1200 S FARMERVILLE ST, Ruston, LA, 71270
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457330185 | Green Clinic LLC | Organization | Clinical Medical Laboratory | Ruston, LA |
| 1235109315 | Ronald Anders | Individual | Gynecology Physician | Ruston, LA |
| 1578533683 | Thomas Brantley | Individual | Family Medicine Physician | Ruston, LA |
| 1619947629 | Greene Butler | Individual | Surgery Physician | Ruston, LA |
| 1952371965 | Marlene Daher | Individual | Pediatrics Physician | Ruston, LA |
| 1689644585 | Terry Gardner | Individual | Family Medicine Physician | Ruston, LA |
| 1275503161 | Dean Kirby | Individual | Family Medicine Physician | Ruston, LA |
| 1184694903 | Derek Mcclusky | Individual | Surgery Physician | Ruston, LA |
Verify this record
Cross-check NPI 1831178755 against the authoritative CMS record: view Green Clinic LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Green Clinic LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-02-22.