NPIMap

Individual provider Active NPI

Matthew Kennedy, PA-C

  • Physician Assistant
  • Jonesville, LA
National Provider Identifier
1194267179
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
303572 Issued in LA
Practice address
800 Audubon Dr
Jonesville, LA 71343-2432
Phone
(318) 657-2273
Fax
(318) 625-0581
NPI assigned
Nov 8, 2016
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 303572 LA Primary

Addresses

Primary practice location

800 Audubon Dr
Jonesville, LA 71343-2432

Mailing address

800 Audubon Dr
Jonesville, LA 71343-2432
Phone (318) 657-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126000760 LA Practitioner - Physician Assistant 8820370844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DM Properties of Lafayette, LLCGroup PAC ID 8527292986, 16 clinicians

Practice addresses (Care Compare)

2705 Hwy 28 E
Pineville, LA 71360-5712
Phone (318) 704-6770

3601 Jackson St Ext
Alexandria, LA 71303-3002

3601 Jackson St Extension
Alexandria, LA 71303-3002
Phone (318) 787-6877

3662 W Oak St
Jena, LA 71342-4474
Phone (318) 495-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303572LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Parish Hospital Service Dist 1 CurrentSince Mar 1, 2026 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Dec 1, 2018 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Mar 1, 2026 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Dec 1, 2018 Accepting new patients

Locations

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1194267179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUDUBON DR",
            "city": "JONESVILLE",
            "state": "LA",
            "postal_code": "713432432",
            "telephone_number": "318-657-2273",
            "fax_number": "318-625-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUDUBON DR",
            "city": "JONESVILLE",
            "state": "LA",
            "postal_code": "713432432",
            "telephone_number": "318-657-2273",
            "fax_number": "318-625-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "303572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, LA

Sources for this page

Verify at the official NPI Registry.