NPIMap

Individual provider Active NPI

Jerry Wayne Pounds Jr.

  • Rheumatology Physician
  • Metairie, LA
National Provider Identifier
1245554278
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD.205282 Issued in LA
Practice address
111 Veterans Memorial Blvd
Suite #404
Metairie, LA 70005-3028
Phone
(504) 899-1120
Fax
(504) 899-2432
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Rheumatology Physician 207RR0500X MD.205282 LA Primary

Addresses

Primary practice location

111 Veterans Memorial Blvd
Suite #404
Metairie, LA 70005-3028

Mailing address

111 Veterans Memorial Blvd
Suite #404
Metairie, LA 70005-3028
Phone (504) 899-1120

Other identifiers 2

IdentifierTypeStateIssuer
06838888MedicaidMS
2107399MedicaidLA

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
I20150928000638 LA Practitioner - Rheumatology 3870717614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Louisiana State University School of Medicine in New Orleans, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Rheumatology Group, LLCGroup PAC ID 7911926704, 3 clinicians

Practice addresses (Care Compare)

111 Veterans Memorial Blvd
Metairie, LA 70005-3079

Hospital & facility affiliations

  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046
  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.205282LAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 1, 2015 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 1, 2015 Accepting new patients

Locations

9001 Summa Ave
Baton Rouge, LA 70809

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJEEAA/Endpoint/FJEEAA

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1245554278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE #404",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053028",
            "telephone_number": "504-899-1120",
            "fax_number": "504-899-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE #404",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053028",
            "telephone_number": "504-899-1120",
            "fax_number": "504-899-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNDS",
        "first_name": "JERRY",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "MD.205282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06838888",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107399",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.