Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Llewellyn Simon, MD

Individual provider Internal Medicine Physician · NPI 1063494128

Dr. Llewellyn Simon, MD is an Internal Medicine in Lake Providence, Louisiana. Qualified in 1990, 36 years ago. Practices with East Carroll Parish Hospital, a 38-clinician group. Licensed in Louisiana.

Years since qualifying
36
Licensed in
LA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

320 N Hood St
Lake Providence, LA 71254-2140
Phone: (318) 559-2404
Fax: (318) 559-2430
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 11828R (LA)

Record details

NPI number1063494128
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESOctober 16, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice East Carroll Parish Hospital — 38 clinicians
Accepts Medicare assignment Not indicated

Other providers in Lake Providence