Active NPI
Advanced Primary Care of Louisiana LLC
- Primary Care Nurse Practitioner
- Gray, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- ADVANCED PRIMARY CARE OF LOUISIANA LLC
- Practice address
- 4275 W Main St
Gray, LA 70359-6410 - Phone
- (985) 360-3781
- Fax
- (985) 360-3782
- NPI assigned
- Jul 5, 2023
- Last updated
- Oct 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darin Branson, FNP-C
- Title
- NP
- Phone
- (985) 360-3781
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
4275 W Main St
Gray, LA 70359-6410
Mailing address
4275 W Main St
Gray, LA 70359-6410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2288939 | Advanced Primary Care of Louisiana | Certificate of waiver | Aug 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
4275 W Main St
Gray, LA 70359
Phone (985) 360-3781
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Gray, LA
- NPI 1255711909
-
- Family Nurse Practitioner
- Gray, LA
- NPI 1073989224
-
- Otolaryngology Physician
- Thibodaux, LA
- NPI 1356319669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1114605722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4275 W MAIN ST",
"city": "GRAY",
"state": "LA",
"postal_code": "703596410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4275 W MAIN ST",
"city": "GRAY",
"state": "LA",
"postal_code": "703596410",
"telephone_number": "985-360-3781",
"fax_number": "985-360-3782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PRIMARY CARE OF LOUISIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-05",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A",
"authorized_official_last_name": "BRANSON",
"authorized_official_first_name": "DARIN",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "985-360-3781",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gray, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.