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

Mr. Marvin Keith Rainwater, PA

Individual provider Physician Assistant · NPI 1457310773

Mr. Marvin Keith Rainwater, PA is a Physician Assistant in Shreveport, Louisiana. Works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Fax: (318) 629-4833
Show map & directions

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

Additional practice locations (1)

  • 105 Hanes Square Cir, Winston Salem, NC 27103-5514 — (336) 441-5569

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 322314 (LA)

Record details

NPI number1457310773
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients43
Services billed 51 a service is one billed item, such as a visit, a test or a procedure
Average patient age65

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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