Individual provider Active NPI

Agnes McKowen Collins, PA

  • Medical Physician Assistant
  • Zachary, LA
National Provider Identifier
1124463914
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
320653 Issued in LA
Practice address
18989 Old Scenic Hwy
Zachary, LA 70791-8105
Phone
(225) 654-8850
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 881 AL
Medical Physician Assistant 363AM0700X 320653 LA Primary

Addresses

Primary practice location

18989 Old Scenic Hwy
Zachary, LA 70791-8105

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 654-8850

Other practice location 1

3200 16th St N
Birmingham, AL 35207-4202
Phone (205) 321-6207

Other practice location 2

430 Fieldstown Rd Ste 104
Gardendale, AL 35071
Phone (205) 631-5521

Other practice location 3

5326 Oak St.
St. Francisville, LA 70775
Phone (225) 635-5848 ext. 123

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191107000755 LA Practitioner - Physician Assistant 0345480976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenient Care LLCGroup PAC ID 1153306816, 36 clinicians

Practice addresses (Care Compare)

12525 Perkins Rd
Baton Rouge, LA 70810-1907

18989 Old Scenic Hwy
Zachary, LA 70791-8105
Phone (225) 654-8850

31985 La Hwy 16
Denham Springs, LA 70726-1462
Phone (225) 791-8800

8751 Sullivan Rd
Baton Rouge, LA 70818-6014
Phone (225) 262-8377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
881ALMDClinical Psychologist
320653LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care LLC CurrentSince Jul 29, 2020 Accepting new patients
Convenient Care LLC CurrentSince Jul 29, 2020 Accepting new patients
West Feliciana Parish Hospital Physician Clinic PastSince Nov 10, 2019 Accepting new patients

Locations

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

42205 Veterans Ave
Hammond, LA 70403
Phone (985) 230-5630

18989 Old Scenic Hwy
Zachary, LA 70791
Phone (225) 654-6140

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/westfel-403f2fc3

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1124463914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-654-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18989 OLD SCENIC HWY",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707918105",
            "telephone_number": "225-654-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 16th St N",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352074202",
            "country_code": "US",
            "telephone_number": "205-321-6207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Fieldstown Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "35071",
            "country_code": "US",
            "telephone_number": "205-631-5521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5326 Oak St.",
            "address_purpose": "LOCATION",
            "city": "St. Francisville",
            "state": "LA",
            "postal_code": "70775",
            "country_code": "US",
            "telephone_number": "225-635-5848 x123",
            "fax_number": "225-635-5847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "AGNES",
        "middle_name": "MCKOWEN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "881",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "320653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.