Individual provider Active NPI

Dionne R Nolan, D.P.M.

  • Podiatrist
  • Jonesboro, LA
National Provider Identifier
1104897446
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD197R Issued in LA
Practice address
121 Watts St
Jonesboro, LA 71251-2062
Phone
(318) 259-4435
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PD197R LA Primary

Addresses

Primary practice location

121 Watts St
Jonesboro, LA 71251-2062

Mailing address

121 Watts St
Jonesboro, LA 71251-2062
Phone (318) 395-1159

Other practice location 1

165 Beech Springs Rd
Jonesboro, LA 71251-2059
Phone (318) 259-4435

Other identifiers 1

IdentifierTypeStateIssuer
1557307MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dnolan@jph.cernerdirect.com Direct Jackson Parish Hospital

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100209000177 LA Practitioner - Podiatry 1355484619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Parish HospitalGroup PAC ID 9335048081, 10 clinicians

Practice addresses (Care Compare)

165 Beech Springs Rd
Jonesboro, LA 71251-2013
Phone 3182594435223

165 Beech Springs Rd
Jonesboro, LA 71251-2059

Hospital & facility affiliations

  • Jackson Parish Hospital Hospital, Jonesboro, LA, CCN 191317

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14202RLAMDDiagnostic Radiology Physician
PD197RLAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Dionne R. Nolan, Inc CurrentSince Oct 24, 2023 Accepting new patients
Jackson Parish Hospital CurrentSince Feb 1, 2024 Accepting new patients
Jackson Parish Hospital Past Accepting new patients
Jackson Parish Hospital Past Accepting new patients

Locations

804 Chatham Ave
Chatham, LA 71226
Phone (318) 249-3200

121 Watts St
Jonesboro, LA 71251
Phone (318) 395-1159

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

107 Watts St
Jonesboro, LA 71251
Phone (318) 395-2121

121 Watts St
Ste A
Jonesboro, LA 71251
Phone (318) 259-0006

Interoperability endpoints

  • Direct secure messaging: dnolan@jph.cernerdirect.com
  • Direct secure messaging: dionne.nolan@gcmc.directbygreenway.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/

Organizations & group practices 6

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.

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1104897446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WATTS ST",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512062",
            "telephone_number": "318-395-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WATTS ST",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512062",
            "telephone_number": "318-259-4435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Beech Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "LA",
            "postal_code": "712512059",
            "country_code": "US",
            "telephone_number": "318-259-4435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "DIONNE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD197R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1557307",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnolan@jph.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "Jackson Parish Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "121 Watts St",
            "city": "Jonesboro",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712512062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jonesboro, LA

Sources for this page

Verify at the official NPI Registry.