Individual provider Active NPI

Georgia Mae Eichelberger

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1215464730
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
6996 Issued in LA
Practice address
12097 Old Hammond Hwy Ste I4
Baton Rouge, LA 70816-8679
Phone
(225) 246-8816
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X 6996 LA Primary

Addresses

Primary practice location

12097 Old Hammond Hwy Ste I4
Baton Rouge, LA 70816-8679

Mailing address

4013 White Sands Dr
Baton Rouge, LA 70814-5171
Phone (225) 284-0644

Other practice location 1

4013 White Sands Dr
Baton Rouge, LA 70814
Phone (225) 284-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215464730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 WHITE SANDS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708145171",
            "telephone_number": "225-284-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12097 OLD HAMMOND HWY STE I4",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168679",
            "telephone_number": "225-246-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4013 White Sands Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70814",
            "country_code": "US",
            "telephone_number": "225-284-0644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EICHELBERGER",
        "first_name": "GEORGIA",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "6996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.