Individual provider Active NPI

Steven Presley, PA-C

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1154750818
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
200675 Issued in LA
Practice address
5800 One Perkins Place Dr Ste a
Baton Rouge, LA 70808-9113
Phone
(225) 224-8690
Fax
(225) 615-7704
NPI assigned
Nov 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 200675 LA Primary

Addresses

Primary practice location

5800 One Perkins Place Dr Ste a
Baton Rouge, LA 70808-9113

Mailing address

7515 Jefferson Hwy # 246
Baton Rouge, LA 70806-8308
Phone (225) 663-6827

Other identifiers 2

IdentifierTypeStateIssuer
2372149MedicaidLA
02025353MedicaidMS

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
I20140207000997 LA Practitioner - Physician Assistant 7012146301 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PCP Urgent Care Holdings LLC CurrentSince Dec 15, 2015 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 4, 2014 Accepting new patients
PCP Urgent Care Holdings LLC CurrentSince Dec 15, 2015 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 4, 2014 Accepting new patients
R.T. Royal Group LLC PastSince Jul 28, 2019 Accepting new patients

Locations

7515 Jefferson Hwy
Baton Rouge, LA 70806
Phone (225) 717-3958

8540 Siegen Ln
Ste B
Baton Rouge, LA 70810
Phone (225) 224-8690

8540 Siegen Ln
Ste A
Baton Rouge, LA 70810

2840 Florida St
Baton Rouge, LA 70802
Phone (225) 224-2402

5420 Plank Rd
Baton Rouge, LA 70805
Phone (225) 228-2452

9001 Summa Ave
Baton Rouge, LA 70809

9688 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 408-7587

17513 Old Jefferson Hwy
Prairieville, LA 70769
Phone (225) 673-7587

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Organizations & group practices 6

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1154750818",
    "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": "225-663-6827",
            "fax_number": "225-615-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 ONE PERKINS PLACE DR STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089113",
            "telephone_number": "225-224-8690",
            "fax_number": "225-615-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2372149",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02025353",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.