Drg Medical LLC
NPI 1316418288ActiveOrganization· Family Medicine, Addiction Medicine· Shreveport, LA
Family Medicine, Addiction Medicine in Shreveport, Louisiana, registered in NPPES in December 2018. The authorized official on file is William Lee Gibson, MD, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316418288 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2018 |
| Last updated in NPPES | Oct 26, 2020 |
| Certified by provider | Oct 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Addiction Medicine Primary | 207QA0401X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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