Individual provider Active NPI

Tamela L Charbonnet, M.D.

  • Dermatology Physician
  • Houma, LA
National Provider Identifier
1215934401
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
023735 Issued in LA
Practice address
327 Bayou Gardens Blvd
Houma, LA 70364-1434
Phone
(985) 876-5000
Fax
(985) 876-5280
NPI assigned
Jul 1, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 023735 LA Primary

Addresses

Primary practice location

327 Bayou Gardens Blvd
Houma, LA 70364-1434

Mailing address

327 Bayou Gardens Blvd
Houma, LA 70364-1434
Phone (985) 876-5000

Other identifiers 2

IdentifierTypeStateIssuer
1484768MedicaidLA
1441953MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000104 LA Practitioner - Dermatology 1850421017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grafton Dermatology and Cosmetic SurgeryGroup PAC ID 8123085248, 6 clinicians
Family Dermatology Specialists LLCGroup PAC ID 4082998224, 5 clinicians

Practice addresses (Care Compare)

327 Bayou Gardens Blvd
Houma, LA 70364-1434
Phone (985) 876-5000

3421 N Causeway Blvd
Suite 202
Metairie, LA 70002-3759
Phone (504) 832-6612

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions442
Skin biopsy93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023735LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grafton Dermatology and Cosmetic Surgery CurrentSince Sep 1, 2001 Accepting new patients
Family Dermatology Specialists, LLC Dermatology CurrentSince Mar 1, 2017 Accepting new patients

Locations

327 Bayou Gardens Blvd
Houma, LA 70364
Phone (985) 876-5000

3421 N Causeway Blvd
Ste 202
Metairie, LA 70002
Phone (504) 832-6612

1253 Canal Blvd
Thibodaux, LA 70301
Phone (985) 493-8899

Interoperability endpoints

  • Direct secure messaging: referral.charbonnet@graftonderm.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215934401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 BAYOU GARDENS BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641434",
            "telephone_number": "985-876-5000",
            "fax_number": "985-876-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BAYOU GARDENS BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641434",
            "telephone_number": "985-876-5000",
            "fax_number": "985-876-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARBONNET",
        "first_name": "TAMELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "023735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1484768",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1441953",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.