Individual provider Active NPI

Gina Payton Lagarde, M.D.

  • Pediatrics Physician
  • Hammond, LA
National Provider Identifier
1053459784
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
020356 Issued in LA
Practice address
15481 W Club Deluxe Rd
Hammond, LA 70403-1466
Phone
(985) 543-4880
Fax
(985) 543-4888
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 020356 LA Primary

Addresses

Primary practice location

15481 W Club Deluxe Rd
Hammond, LA 70403-1466

Mailing address

15481 W Club Deluxe Rd
Hammond, LA 70403-1466
Phone (985) 543-4880

Other identifiers 1

IdentifierTypeStateIssuer
1934283MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000571 LA Practitioner - Pediatric Medicine 2163480112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Tulane University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15481 W Club Deluxe Rd
Tangipahoa Hammond Public Health Unit
Hammond, LA 70403-1466
Phone (985) 543-4165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
020356LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Department of Health - Office of Public Health CurrentSince May 30, 2018 Accepting new patients
Louisiana Department of Health - Office of Public Health Current Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince May 30, 2018 Accepting new patients

Locations

330 W Oak St
Amite, LA 70422
Phone (985) 748-2020

626 Carolina Ave
Bogalusa, LA 70427
Phone (985) 732-6615

1029 Capitol Ave
Crowley, LA 70526
Phone (337) 788-7507

120 11th Ave
Franklinton, LA 70438
Phone (985) 839-5646

53 N 2nd St
Greensburg, LA 70441
Phone (225) 222-4006

15481 W Club Deluxe Rd
Hammond, LA 70403
Phone (985) 543-4165

20399 Government Blvd
Livingston, LA 70754

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

1450 Poydras St
#1854
New Orleans, LA 70112

145 Hospital Dr
Oakdale, LA 71463
Phone (337) 639-3001

520 Old Spanish Trl
Ste 2A
Slidell, LA 70458

110 June Anthony Dr
Springhill, LA 71075
Phone (318) 539-4314

Interoperability endpoints

  • Direct secure messaging: gina.lagarde@ldhoph.directbygreenway.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1053459784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15481 W CLUB DELUXE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031466",
            "telephone_number": "985-543-4880",
            "fax_number": "985-543-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15481 W CLUB DELUXE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031466",
            "telephone_number": "985-543-4880",
            "fax_number": "985-543-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGARDE",
        "first_name": "GINA",
        "middle_name": "PAYTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "020356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1934283",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.