Individual provider Active NPI

Marc Fernandez, MD

  • Family Medicine Physician
  • Lafayette, LA
National Provider Identifier
1134549322
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
301084 Issued in LA
Practice address
121 Rue Louis Xiv BLDG 5
Lafayette, LA 70508-5786
Phone
(337) 269-7494
NPI assigned
Apr 26, 2014
Last updated
Feb 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X MD.301084 LA
Family Medicine Physician 207Q00000X 301084 LA Primary

Addresses

Primary practice location

121 Rue Louis Xiv BLDG 5
Lafayette, LA 70508-5786

Mailing address

105 Innisbrook Dr
Broussard, LA 70518-6102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161116000462 LA Practitioner - Family Practice 5294953485 Reassigns benefits to 3 organizations
I20231114003178 GA Practitioner - Family Practice 5294953485 Reassigns benefits to 2 organizations

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
Allcare Ga PCGroup PAC ID 2668907940, 36 clinicians

Practice addresses (Care Compare)

3320 Hamilton Mill Rd
Buford, GA 30519-4005
Phone (844) 315-9666

4605 Roswell Rd
Atlanta, GA 30342-3000
Phone (678) 509-7462

6135 Ollie Walk
Suite 100
Alpharetta, GA 30005-2461
Phone (678) 609-5678

764 Memorial Dr SE
Suite 106
Atlanta, GA 30316-1573
Phone (770) 783-1414

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.301084LAMDEmergency Medicine Physician
301084LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eunice Emergency Group LLC Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Emergency Group of St Landry LLC Emergency Medicine CurrentSince Nov 16, 2016 Accepting new patients
Lourdes After Hours LLC CurrentSince Oct 10, 2016 Accepting new patients
Lourdes After Hours LLC CurrentSince Oct 10, 2016 Accepting new patients
Capital Healthcare PC CurrentSince Oct 4, 2023 Accepting new patients
Alex E. Rikhter, MD P.C. Current Accepting new patients
Allcare Ga PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

3867 Roswell Rd NE
Ste 100
Atlanta, GA 30342
Phone (678) 904-5611

1070 Braselton Village Pkwy
#100
Braselton, GA 30517

3320 Hamilton Mill Rd
Buford, GA 30519
Phone (678) 509-7462

13800 Highway 9 N
Ste K
Milton, GA 30004
Phone (404) 400-2722

4605 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 509-7462

3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

1700 Kaliste Saloom Rd
Ste 101
Lafayette, LA 70508
Phone (337) 981-5085

800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

Interoperability endpoints

  • Direct secure messaging: marc.fernandez.1@33029.direct.athenahealth.com
  • Direct secure messaging: marc.fernandez@393409484357636.direct.elationemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1134549322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 INNISBROOK DR",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705186102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RUE LOUIS XIV BLDG 5",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085786",
            "telephone_number": "337-269-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-26",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.301084",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "301084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.