NPIMap

Organization Active NPI

PCP Urgent Care Holdings LLC

Doing business as Patient Plus Urgent Care

  • Durable Medical Equipment & Medical Supplies
  • Brusly, LA
National Provider Identifier
1114637071
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PCP URGENT CARE HOLDINGS LLC
Doing business as
Patient Plus Urgent Care
Practice address
409 Oak Plaza Blvd.
Brusly, LA 70719
Phone
(225) 877-3700
Fax
(225) 256-4583
NPI assigned
Dec 1, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Mr. Steven Edward Presley, PA-CNPI 1154750818
Title
Chief Strategy Officer
Phone
(225) 663-6827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Customized Equipment (DME) 332BC3200X NU
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

409 Oak Plaza Blvd.
Brusly, LA 70719

Mailing address

7515 Jefferson Hwy # 246
Baton Rouge, LA 70806-8308
Phone (225) 224-8690

Other identifiers 1

IdentifierTypeStateIssuer
2406159MedicaidLA

Other names 1

  • Patient Plus Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230210000550 LA DME Supplier - Physician - Unknown Physician Specialty 5092016816 Practice locations: Brusly, LA

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2232056Patient Plus Urgent Care Brusly409 Oak Plaza Blvd, Brusly, LA 70719Certificate of waiverAug 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
PCP Urgent Care Holdings LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1114637071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 JEFFERSON HWY # 246",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068308",
            "telephone_number": "225-224-8690",
            "fax_number": "225-615-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 OAK PLAZA BLVD.",
            "city": "BRUSLY",
            "state": "LA",
            "postal_code": "70719",
            "telephone_number": "225-877-3700",
            "fax_number": "225-256-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCP URGENT CARE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "225-663-6827",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2406159",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient Plus Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brusly, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.

Verify at the official NPI Registry.