NPIMap

Individual provider Active NPI

David J Guillot, MD

  • Family Medicine Physician
  • Woodworth, LA
National Provider Identifier
1215939558
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD022865 Issued in LA
Practice address
9372 Highway 165 S
Woodworth, LA 71485-9786
Phone
(318) 484-9588
Fax
(318) 484-9590
NPI assigned
Jun 1, 2005
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD022865 LA Primary

Addresses

Primary practice location

9372 Highway 165 S
Woodworth, LA 71485-9786

Mailing address

2900 Indiana Ave
Kenner, LA 70065-4605
Phone (504) 575-3712

Other identifiers 1

IdentifierTypeStateIssuer
1494437MedicaidLA

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
I20070112000156 LA Practitioner - Family PracticePractitioner - Emergency Medicine 9739189937 Reassigns benefits to 1 organization
Practice locations: Alexandria, LA; Oakdale, LA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Health LouisianaGroup PAC ID 3678484276, 42 clinicians

Practice addresses (Care Compare)

9372 Hwy 165 S
Woodworth, LA 71485-9786
Phone (318) 484-9588

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD022865LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Louisiana CurrentSince Feb 11, 2017 Accepting new patients
Central Louisiana Senior Care MHT LLC Family Medicine CurrentSince Jun 20, 2014 Accepting new patients
Access Health Louisiana CurrentSince Feb 11, 2017 Accepting new patients
Allen Health Care Partners LLC Past Accepting new patients
Guardian Hospice Care, LLC Family Medicine Past Accepting new patients
St. Mary's Residential Community and Services Past Accepting new patients
St. Mary's Residential Training School Past Accepting new patients
St. Mary's Residential Community and Services Past Accepting new patients
St. Mary's Residential Community and Services Past Accepting new patients
Access Health Louisiana Family Medicine Past Accepting new patients
Belle Grande Nursing & Rehabilitation Center LLC Past Accepting new patients
C H Wilkinson Physician Network Family Medicine Past Accepting new patients
Woodworth Family Medicine Inc. Past Accepting new patients
St. Mary's Residential Community and Services Past Accepting new patients
Alexandria Healthcare LLC Past Accepting new patients

Locations

2807 S Columbia St
Bogalusa, LA 70427
Phone (985) 730-7310

8050 W Judge Perez Dr
Ste 1300
Chalmette, LA 70043
Phone (504) 281-2800

42351 Phyllis Ann Dr
Hammond, LA 70403
Phone (985) 956-7406

2900 Indiana Ave
Kenner, LA 70065
Phone (504) 575-3700

16004 River Rd
Norco, LA 70079
Phone (985) 725-9330

501 Robert Blvd
Slidell, LA 70458
Phone (504) 757-3712

9372 Highway 165 S
Woodworth, LA 71485
Phone (318) 484-9588

Interoperability endpoints

  • Direct secure messaging: david.guillot.1@11331.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The SummitAlexandria, LA, CCN 195560 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 5, 2013
Dec 5, 2013
Regency House of AlexandriaAlexandria, LA, CCN 195637 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 16, 2024
Sep 16, 2024
Guardian Hospice CareAlexandria, LA, CCN 191637 Hospice Other Jan 1, 2007

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1215939558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 INDIANA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654605",
            "telephone_number": "504-575-3712",
            "fax_number": "504-575-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9372 HIGHWAY 165 S",
            "city": "WOODWORTH",
            "state": "LA",
            "postal_code": "714859786",
            "telephone_number": "318-484-9588",
            "fax_number": "318-484-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLOT",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD022865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1494437",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodworth, LA

Sources for this page

Verify at the official NPI Registry.