Louisiana Internal Medicine Associates, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4866 Issued in LA

Legal business name

LOUISIANA INTERNAL MEDICINE ASSOCIATES, LLC

Practice address

7472 Highland Rd
Baton Rouge, LA 70808-6611

Phone

(225) 448-3359

Fax

(225) 448-3403

NPI assigned

Mar 16, 2016

Last updated

Sep 22, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kendall Johnson

Title

Chief Financial Officer

Phone

(225) 237-1645

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Louisiana Internal Medicine Associates, LLC

  • Urgent Care Clinic/Center
  • Geismar, LA
  • NPI 1679959282

  O20171226000250

  Same enrollment

Tax ID family

Louisiana Internal Medicine Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Wellness Studio, LLC

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1609245117
  NPD tax ID

Locations

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Fetzer, PHD, LPC-S

  • Professional Counselor
  • Baton Rouge, LA
  • NPI 1215363205
  Medicare reassignment NPD
• Alexis Taylor Guedry

  • Professional Counselor
  • Gonzales, LA
  • NPI 1750186144
  Medicare reassignment NPD
• Holger C Heap, LPC

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1821716176
  Medicare reassignment NPD
• Mallory McCann, LPC, NCC, BC-TMH

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1447606512
  Medicare reassignment NPD
• Mary Kathryn Rodrigue Gastinel, PH.D., LPC, NCC

  • Counselor
  • Baton Rouge, LA
  • NPI 1861743163
  Medicare reassignment NPD
• Elizabeth Baughman Sampson, LPC

  • Professional Counselor
  • Baton Rouge, LA
  • NPI 1699499376
  Medicare reassignment NPD
• Ubaid Riaz Abbasi, MD

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1548765738
  Medicare reassignment
• Matthew Bumgardner, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Baton Rouge, LA
  • NPI 1043637119
  Medicare reassignment
• Daniel James Daire, APRN

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1972967610
  Medicare reassignment
• Tina Michelle Davis

  • Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1568190767
  Medicare reassignment
• Erin Acosta Delrie, MSN, FNP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1174974596
  Medicare reassignment
• Lauren Lewczyk Guidry

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1033970108
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1023479102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE STE 100B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7472 HIGHLAND RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708086611",
            "telephone_number": "225-448-3359",
            "fax_number": "225-448-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA INTERNAL MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "225-237-1645"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "4866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louisiana Implants and Dentures
• Louisiana Independent Physician Association LLC
• Louisiana Industries for the Disabled, Inc.
• Louisiana Institute of Physical Medicine & Family Practice
• Louisiana Internal Medicine and Pediatric Associates, LLC
• Louisiana Ivf Lab, LLC
• Louisiana Key Academy
• Louisiana Medical Clinic
• Louisiana Mua, LLC
• Louisiana Neurologic Consultants, Inc.

• Community/Behavioral Health Agency in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.