Baton Rouge General Physicians Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP, LLC

Doing business as

Bella Family Medical

Practice address

10127 Florida Blvd
Baton Rouge, LA 70815-1765

Phone

(225) 272-0106

NPI assigned

Oct 21, 2011

Last updated

Aug 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kendall Johnson

Title

Cfo

Phone

(225) 237-1645

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bella Family Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Baton Rouge General Physicians Medical Group, LLC

  dba Baton Rouge General Physicians - Denham Springs

  • Family Medicine Physician
  • Denham Springs, LA
  • NPI 1295005247

  O20120109000384

  Same enrollment
• Baton Rouge General Physicians Medical Group, LLC

  dba Baton Rouge General Gastroenterology

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1841577988

  O20120109000384

  Same enrollment
• Baton Rouge General Primary Care, LLC

  dba Primary Care Group

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1114356979

  O20120109000384

  Same enrollment

Locations

Practitioners 7

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.

• Kierstin Renee Hayes, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1447935796
  NPD
• Jonathan Hickson, M.D

  • Family Medicine Physician
  • Livingston, LA
  • NPI 1285021881
  NPD
• Anthony Johnson II, MD

  • Sports Medicine (Family Medicine) Physician
  • Baton Rouge, LA
  • NPI 1699201434
  NPD
• Stacy Denise Jones-Pedescleaux, M.D.

  • Family Medicine Physician
  • Prairieville, LA
  • NPI 1962670570
  NPD
• Jonnika Hudson Robertson, FNP

  • Family Nurse Practitioner
  • Hammond, LA
  • NPI 1104342765
  NPD
• Vasanthi Vinayagam, MD

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1376520650
  NPD
• Darakhshan Wahid, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1801872627
  NPD

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1174808174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE",
            "address_2": "BLDG 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093731",
            "telephone_number": "225-237-1754",
            "fax_number": "225-237-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10127 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708151765",
            "telephone_number": "225-272-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-237-1645"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1378861",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baton Rouge General Medical Center (Hematology Oncology Clinic)
• Baton Rouge General Medical Center (BRGMC Obstetrics Hospitalists)
• Baton Rouge General Physicians Concierge Medicine, LLC
• Baton Rouge General Physicians Hospital Specialists, Inc
• Baton Rouge General Physicians Inc. (Baton Rouge General Gastroenterology)
• Baton Rouge General Physicians Medical Group, LLC (Baton Rouge General Gastroenterology)
• Baton Rouge General Physicians, Inc (Baton Rouge General Physicians Family Medicine)
• Baton Rouge General Physicians, Inc. (Baton Rouge General Corner Pharmacy)
• Baton Rouge General Physicians, Inc. (BRGP-Bluebonnet Family Clinic)
• Baton Rouge General Physicians, Inc. (Health and Wellness Center)

• Family Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.