Active NPI
Jonathon Sossamon
- Family Medicine Physician
- Deridder, LA
National Provider Identifier
1114304375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 303959
- Practice address
- 403 W 8TH St
Deridder, LA 70634-5507 - Phone
- (337) 463-8977
- Fax
- (337) 462-3093
- NPI assigned
- Apr 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 303959 | LA | Primary |
Addresses
Primary practice location
403 W 8TH St
Deridder, LA 70634-5507
Mailing address
PO Box 935
Deridder, LA 70634-0935
Phone (337) 463-8977
Other practice location 1
4228 Houma Blvd
Ste. 230
Metairie, LA 70006-3000
Phone (504) 503-6206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2398318 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180730000632 | LA | Practitioner - Family Practice | 4385932169 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family Healthcare of Beauregard, LLC
Practice addresses (Care Compare)
403 W 8TH St
Deridder, LA 70634-5507
Phone (337) 463-8977
Hospital & facility affiliations
- Allegiance Home Health of Southwest Louisiana, LLC
- Elara Caring
- Beauregard Home Health
- Home Health Care 2000- Oakdale
- Vernon Home Health
- Brighton Bridge
- Beauregard Memorial Hospital
- Lake Charles Memorial Hospital
- Sabine Medical Center
- Rosepine Retirement & Rehab Center, LLC
- Westwood Manor Nursing Home, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason P Hagen, MD, LLC | Family Medicine | Current | Accepting new patients |
| Family Healthcare of Beauregard, L.L.C. | Current | Accepting new patients |
Locations
403 W 8th St
Deridder, LA 70634
Phone (337) 463-8977
Interoperability endpoints
- jonathonsossamon@fhcla.allscriptsdirect.net
Organizations & group practices 2
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 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Deridder, LA
- NPI 1740844620
-
- Home Health Agency
- Deridder, LA
- NPI 1225288566
-
- Rural Acute Care Hospital
- Deridder, LA
- NPI 1831193499
Hospital
-
- Home Health Agency
- Oakdale, LA
- NPI 1427233550
-
- Skilled Nursing Facility
- Rosepine, LA
- NPI 1114900529
Nursing home
-
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
Hospital
-
- Home Health Agency
- Leesville, LA
- NPI 1730113655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1114304375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 935",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706340935",
"telephone_number": "337-463-8977",
"fax_number": "337-462-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W 8TH ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706345507",
"telephone_number": "337-463-8977",
"fax_number": "337-462-3093"
}
],
"practiceLocations": [
{
"address_1": "4228 Houma Blvd",
"address_2": "Ste. 230",
"address_purpose": "LOCATION",
"city": "Metairie",
"state": "LA",
"postal_code": "700063000",
"country_code": "US",
"telephone_number": "504-503-6206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOSSAMON",
"first_name": "JONATHON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-27",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "303959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2398318",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.