Individual provider Active NPI

Shaun R Spinks, M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1255545752
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
324773 Issued in LA
Practice address
11111 Park Place Dr Ste B
Baton Rouge, LA 70818-3200
Phone
(225) 333-3630
Fax
(225) 333-3660
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 324773 LA Primary

Addresses

Primary practice location

11111 Park Place Dr Ste B
Baton Rouge, LA 70818-3200

Mailing address

11111 Park Place Dr Ste B
Baton Rouge, LA 70818-3200
Phone (225) 333-3630

Other practice location 1

1128 Clarksville St
Ste 100
Paris, TX 75460-6060
Phone (903) 785-4362

Other practice location 2

11111 Park Place Dr Ste B
Baton Rouge, LA 70818-3200
Phone (225) 333-3630

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
I20220411000700 LA Practitioner - Family Practice 3678623428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge General Physicians IncGroup PAC ID 5193623643, 189 clinicians

Practice addresses (Care Compare)

1185 Americana Blvd
Suite 2170
Zachary, LA 70791-7854
Phone (225) 237-1625

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Medical Center Family Medicine CurrentSince Jan 18, 2021 Accepting new patients

Locations

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

1185 Americana Blvd
Ste 2170
Zachary, LA 70791
Phone (225) 237-1625

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1255545752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 PARK PLACE DR STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183200",
            "telephone_number": "225-333-3630",
            "fax_number": "225-333-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 PARK PLACE DR STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183200",
            "telephone_number": "225-333-3630",
            "fax_number": "225-333-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128 Clarksville St",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754606060",
            "country_code": "US",
            "telephone_number": "903-785-4362",
            "fax_number": "903-782-9365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11111 Park Place Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708183200",
            "country_code": "US",
            "telephone_number": "225-333-3630",
            "fax_number": "225-333-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPINKS",
        "first_name": "SHAUN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "324773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.