Jennings Internal Medicine Associates Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JENNINGS INTERNAL MEDICINE ASSOCIATES INC.

Practice address

1902 Johnson St
Jennings, LA 70546

Phone

(337) 824-9119

Fax

(337) 824-7005

NPI assigned

Oct 3, 2006

Last updated

Mar 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian C Wilder, MD

Title

President

Phone

(337) 824-9119

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: clinic@jima.imed.phimailbox.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick W Griffith, MD

  • Internal Medicine Physician
  • Jennings, LA
  • NPI 1194828301
  Medicare reassignment NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1265526446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 JOHNSON ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "70546",
            "telephone_number": "337-824-9119",
            "fax_number": "337-824-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 JOHNSON ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "70546",
            "telephone_number": "337-824-9119",
            "fax_number": "337-824-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS INTERNAL MEDICINE ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-824-9119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948942",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennings Anesthesia LLC
• Jennings Family Chiropractic
• Jennings Family Healthcare, LLC (Jennings Family Healthcare)
• Jennings Family Healthcare, LLC (Jennings Family Healthcare)
• Jennings Family Pharmacy Inc (Medicine Shoppe)
• Jennings Pediatric Center, LLC
• Gretchen N Jester, P.D.
• Lauren Johnson, CCC-SLP
• Leonora Johnson
• Brittany L Jones, PT, DPT

• Internal Medicine Physician in Jennings, LA
• Providers in Jennings, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.