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South Shreveport Internal Medicine

Internal Medicine Physician in Shreveport, LA · enumerated 2006 · authorized official Greg Gavin, Network Administrator.

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

National Provider Identifier

1982635249

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Registry record

Entity type Organization (Type 2)
Legal business name South Shreveport Internal Medicine
Practice address 2508 Bert Kouns Industrial Loop, Suite 301, Shreveport, LA, 71118
Fax (318) 212-5018
Enumeration date Jul 5, 2006
Last updated in NPPES Aug 30, 2022

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Greg Gavin
Title Network Administrator

Other identifiers

Identifier Type State Issuer
1448885 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.

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Frequently asked questions

Who is the authorized official for South Shreveport Internal Medicine?
NPPES lists Greg Gavin (Network Administrator) as the authorized official for this organization.
What is the NPI number for South Shreveport Internal Medicine?
The NPI for South Shreveport Internal Medicine is 1982635249, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-30.