MEDICARE: GAIL AMISON MD AND WILLIS-KNIGHTON MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1598700023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAIL AMISON MD AND WILLIS-KNIGHTON MEDICAL CENTER

Provider Business Mailing Address
First Line	:	6823 PINES RD
Second Line	:	SUITE A
City	:	SHREVEPORT
State	:	LA
Zip	:	71129-5205
Country	:	US
Telephone Number	:	318-687-5500
Fax Number	:	318-657-5503

Provider Business Practice Location Address
First Line	:	6823 PINES RD
Second Line	:	SUITE A
City	:	SHREVEPORT
State	:	LA
Zip	:	71129-5205
Country	:	US
Telephone Number	:	318-687-5500
Fax Number	:	318-657-5503

Authorized Official
Title or Position	:	NETWORK ADMINISTRATOR
Name	:	GREG J. GAVIN
Credential	:
Telephone Number	:	318-687-5500

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1386639110 — DONALD WALKER OD
Practice Location Address:

6823 PINES RD , SUITE B
SHREVEPORT, LA
71129-5205

Practice Phone: 318-688-3050
Practice Fax: 318-688-3233

1972539252 — JAMES MAY MD AND WILLIS-KNIGHTON MEDICAL CENTER
Practice Location Address:

6823 PINES RD , SUITE A
SHREVEPORT, LA
71129-5205

Practice Phone: 318-687-5500
Practice Fax: 318-687-5503

1306041454 — MRS. JAMESETTA WARD TATE M.D.
Practice Location Address:

6823 PINES RD , A
SHREVEPORT, LA
71129-5205

Practice Phone: 318-603-0440
Practice Fax:

1487826996 — EYES & EYEWEAR INC.
Practice Location Address:

6823 PINES RD , SUITE B
SHREVEPORT, LA
71129-5205

Practice Phone: 318-688-3050
Practice Fax: 318-688-3233

1306177076 — TATE & BARNES WALK IN CLINIC, LLC
Practice Location Address:

6823 PINES RD , SUITE A
SHREVEPORT, LA
71129-5205

Practice Phone: 318-603-0440
Practice Fax:

1679547681 — MR. DANIEL NICK GREEN RN
Practice Location Address:

9282 LYTHAM DR
SHREVEPORT, LA
71129-4834

Practice Phone: 318-688-5112
Practice Fax:

Directions to “GAIL AMISON MD AND WILLIS-KNIGHTON MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.