Organization Active NPI

Louisiana Addicition Treatment Center, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Metairie, LA
National Provider Identifier
1023606506
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
LOUISIANA ADDICITION TREATMENT CENTER, LLC
Practice address
3216 N Turnbull Dr Ste B
Metairie, LA 70002-5732
Phone
(504) 373-6717
Fax
(504) 304-1618
NPI assigned
Jan 9, 2021
Last updated
Jan 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Authorized official

Name
Dr. Bryant G George Sr., MDNPI 1083772883
Title
Physician/Member
Phone
(504) 919-3009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X NU Primary

Addresses

Primary practice location

3216 N Turnbull Dr Ste B
Metairie, LA 70002-5732

Mailing address

1741 Lark St
New Orleans, LA 70122-2215
Phone (504) 919-3009

National Provider Directory

National Provider Directory

Locations

3216 N Turnbull Dr
#B
Metairie, LA 70002
Phone (504) 885-6932

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1023606506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 LARK ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701222215",
            "telephone_number": "504-919-3009",
            "fax_number": "504-304-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 N TURNBULL DR STE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025732",
            "telephone_number": "504-373-6717",
            "fax_number": "504-304-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA ADDICITION TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN/MEMBER",
        "authorized_official_telephone_number": "504-919-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.