Jimmie W Varnado, M.D.
Individual provider Active NPI Family Medicine Physician · Greensburg, LA
NPI 1114976867 · NPPES record last updated Sep 14, 2017
Key facts
- NPI
- 1114976867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 011614 (LA)
- Practice address
- 6214 Hwy 10
Greensburg, LA 70441 - Phone
- (225) 222-3206
- Fax
- (225) 222-3190
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Helena Parish Hospital
Practice addresses (Care Compare)
16874 Hwy 43
Greensburg, LA 70441-4834
Phone (225) 222-6111
Hospital & facility affiliations
- Modern Home Health, Inc
- Elara Caring
- St Helena Parish Hospital
- Womans Hospital
- North Oaks Medical Center
- St Helena Parish Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| St. Helena Parish Hospital Rural Health Clinic |
Rural health clinic | Contracted Managing Employee | May 1, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060828000143 | LA | Practitioner - Family Practice | 3577577238 |
Reassigns benefits to 3 organizations Practice locations: Greensburg, LA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011614 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Helena Parish Hospital | Current |
Accepting new patients | |
| St Helena Parish Hospital | Current | Accepting new patients | |
| St. Helena Parish Hospital | Current |
Accepting new patients | |
| St. Helena Parish Hospital | Past | Accepting new patients |
Locations
16874 Highway 43
Greensburg, LA 70441
Phone (225) 222-6111
6214 Highway 10
Greensburg, LA 70441
Phone (225) 222-3206
19 N 1st St
Greensburg, LA 70441
Phone (225) 222-3681
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sthelpa-d110a831
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 011614 | LA | Yes |
Addresses
Primary practice location
6214 Hwy 10
Greensburg, LA 70441
Mailing address
6214 Hwy 10
PO Box 1178
Greensburg, LA 70441
Phone (225) 222-3206
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1193828 | Medicaid | LA | |
| 1443573 | Medicaid | LA |
Other providers in Greensburg, LA
- Melissa Ann Stringer
- Therapeutic Compassion Inc.
- Constance Elizabeth Thompson-Fly
- Anjanette L Varnado
- Beulah Yolanda Varnado
- Shane E Waite
- Katrena Higginbotham Williams
- Dildred Small Womack
- Wonderful Works
All providers in Greensburg, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.