Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Medical Services of Louisiana, LLC

Organization Nurse Practitioner · NPI 1225453335

Southern Medical Services of Louisiana, LLC provides Nurse Practitioner services in Bastrop, Louisiana. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1523 Texas Ave
Bastrop, LA 71220-4043 Not confirmed with CMS for 12 years — call before visiting
Phone: (318) 281-0078
Fax: (318) 281-2753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1225453335
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Gladney — Owner · (318) 281-0078
NPI enumeratedFebruary 26, 2014
Last updated in NPPESFebruary 26, 2014
Mailing address1523 Texas Ave, Bastrop, LA 71220-4043

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