Individual provider Active NPI

Jerielle Leigh Adams

  • Emergency Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1174813018
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
206008 Issued in LA
Practice address
5246 Brittany Dr
Baton Rouge, LA 70808-9136
Phone
(225) 757-4140
NPI assigned
Apr 12, 2011
Last updated
Sep 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23119 MS
Emergency Medicine Physician 207P00000X 206008 LA Primary

Addresses

Primary practice location

5246 Brittany Dr
Baton Rouge, LA 70808-9136

Mailing address

5246 Brittany Dr
Baton Rouge, LA 70808-9136
Phone (225) 757-4140

Other identifiers 2

IdentifierTypeStateIssuer
06734277MedicaidMS
2149440MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 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
I20130912000361 LA Practitioner - Emergency Medicine 5698919678 Reassigns benefits to 6 organizations
I20140602000269 MS Practitioner - Emergency Medicine 5698919678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luling Emergency Group LLCGroup PAC ID 8325352636, 21 clinicians
Kenner Emergency Group LLCGroup PAC ID 8426011230, 52 clinicians
St. John Emergency Group LLCGroup PAC ID 4082641303, 19 clinicians
Foucher Emergency Group LLCGroup PAC ID 8729254073, 40 clinicians

Practice addresses (Care Compare)

1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone (985) 785-6242

180 W Esplanade Ave
Kenner, LA 70065-6001
Phone (504) 468-8600

1900 W Airline Hwy
La Place, LA 70068-3338
Phone (985) 652-7000

5620 Read Blvd
New Orleans, LA 70127-3106
Phone (504) 592-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206008LAMDEmergency Medicine Physician
23119MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 8, 2017 Accepting new patients
Medical Services of Meridian, Inc. Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Mar 3, 2015 Accepting new patients
St. John Emergency Group LLC Emergency Medicine CurrentSince Dec 18, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 8, 2017 Accepting new patients
Luling Emergency Group LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
C & M Medical Services, Inc. CurrentSince Jul 20, 2013 Accepting new patients
Foucher Emergency Group LLC Emergency Medicine CurrentSince Oct 9, 2016 Accepting new patients
Michael E Isabelle MD Apmc Emergency Medicine Past Accepting new patients

Locations

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000

500 Rue de Sante
La Place, LA 70068
Phone (504) 652-7000

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3740

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

1514 Jefferson Hwy
New Orleans, LA 70121

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

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

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

Interoperability endpoints

  • Direct secure messaging: jadams402893@direct.ochsner.org

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1174813018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 BRITTANY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089136",
            "telephone_number": "225-757-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 BRITTANY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089136",
            "telephone_number": "225-757-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JERIELLE",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "23119",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "206008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06734277",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2149440",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.