Individual provider Active NPI

Amanda Deadmond, MD

  • Obstetrics & Gynecology Physician
  • Hammond, LA
National Provider Identifier
1053818583
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
329257 Issued in LA
Practice address
15813 Paul Vega MD Dr, Ste 200
Magnolia OB/GYN
Hammond, LA 70403-1426
Phone
(985) 230-7650
Fax
(985) 230-7655
NPI assigned
Apr 11, 2018
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 329257 LA Primary

Addresses

Primary practice location

15813 Paul Vega MD Dr, Ste 200
Magnolia OB/GYN
Hammond, LA 70403-1426

Mailing address

PO Box 2666
Professional Billing Services
Hammond, LA 70404-2666
Phone (985) 230-3668

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
I20240603002641 LA Practitioner - Obstetrics/Gynecology 6608318985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15813 Paul Vega MD Dr
Suite 200
Hammond, LA 70403-1431
Phone (985) 230-7650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Medical Center, LLC CurrentSince Apr 17, 2024 Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients
Hospital Service District #1 of Tangipahoa Parish Past Accepting new patients
North Oaks Physician Group, LLC Past Accepting new patients

Locations

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Hammond, LA 70403

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

15813 Paul Vega Md Dr
Ste 200A
Hammond, LA 70403
Phone (985) 230-7790

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1053818583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2666",
            "address_2": "PROFESSIONAL BILLING SERVICES",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042666",
            "telephone_number": "985-230-3668",
            "fax_number": "985-370-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR, STE 200",
            "address_2": "MAGNOLIA OB/GYN",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031426",
            "telephone_number": "985-230-7650",
            "fax_number": "985-230-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEADMOND",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "329257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.