Individual provider Active NPI

Peggy Ann Thomas, PA-C

  • Physician Assistant
  • Marrero, LA
National Provider Identifier
1083324289
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
333556 Issued in LA
Practice address
4945 Lapalco Blvd Ste 200
Marrero, LA 70072-4313
Phone
(504) 301-2025
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 333556 LA Primary

Addresses

Primary practice location

4945 Lapalco Blvd Ste 200
Marrero, LA 70072-4313

Mailing address

4945 Lapalco Blvd Ste 200
Marrero, LA 70072-4313
Phone (504) 301-2025

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314000223 LA Practitioner - Physician Assistant 8224474119 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians
LCMC Urgent Care LLCGroup PAC ID 9234406125, 26 clinicians

Practice addresses (Care Compare)

1105 S Clearview Pkwy
New Orleans, LA 70121-1010
Phone (504) 676-5550

2600 Belle Chasse Hwy
Suite B
Terrytown, LA 70056-7156
Phone (504) 349-2273

3826 General de Gaulle Dr
New Orleans, LA 70114-8208
Phone (504) 362-2829

4513 Westbank Expressway
Marrero, LA 70072
Phone (504) 349-6360

4945 Lapalco Blvd
Suite 200
Marrero, LA 70072-4313
Phone (504) 301-2825

5800 Magazine St
New Orleans, LA 70115-3219
Phone (504) 900-3160

708 W Esplanade Ave
Kenner, LA 70065-2736
Phone (504) 389-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1083324289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 LAPALCO BLVD STE 200",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724313",
            "telephone_number": "504-301-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 LAPALCO BLVD STE 200",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724313",
            "telephone_number": "504-301-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PEGGY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "333556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.