NPIMap

Organization Active NPI

Acadiana Family Medical Center, a Professional Medical Corporation

  • Adult Medicine Physician
  • Church Point, LA
National Provider Identifier
1194915348
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ACADIANA FAMILY MEDICAL CENTER, A PROFESSIONAL MEDICAL CORPORATION
Practice address
810 S Broadway St
Church Point, LA 70525-4402
Phone
(337) 684-6312
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Jackie Theresa Williams
Title
Office Manager
Phone
(337) 684-6312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

810 S Broadway St
Church Point, LA 70525-4402

Mailing address

261 Adolph LN
Branch, LA 70516-3601
Phone (337) 684-6312

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1194915348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 ADOLPH LN",
            "city": "BRANCH",
            "state": "LA",
            "postal_code": "705163601",
            "telephone_number": "337-684-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S BROADWAY ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254402",
            "telephone_number": "337-684-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA FAMILY MEDICAL CENTER, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-684-6312"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Church Point, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.