Individual provider Active NPI

Jonathan Hickson, M.D

  • Family Medicine Physician
  • Livingston, LA
National Provider Identifier
1285021881
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
342733 Issued in LA
Practice address
13960 Florida Blvd
Livingston, LA 70754-1771
Phone
(225) 686-0158
NPI assigned
Apr 21, 2015
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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
Family Medicine Physician 207Q00000X 342733 LA Primary

Addresses

Primary practice location

13960 Florida Blvd
Livingston, LA 70754-1771

Mailing address

13960 Florida Blvd
Livingston, LA 70754
Phone (225) 686-0158

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
I20251118003662 LA Practitioner - Family Practice 8628376928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13960 Florida Blvd
Livingston, LA 70754-6340
Phone (225) 686-0158

5353 Florida Blvd
Baton Rouge, LA 70806-4130
Phone (225) 367-4558

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
342733LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Primary Care, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Baton Rouge General Physicians Medical Group, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Nov 18, 2025 Accepting new patients
Baton Rouge General Physicians, Inc. Family Medicine CurrentSince Nov 18, 2025 Accepting new patients

Locations

5353 Florida Blvd
Baton Rouge, LA 70806
Phone (225) 367-4558

8333 Goodwood Blvd
Baton Rouge, LA 70806
Phone (225) 216-3338

8490 Picardy Ave
Ste 200
Baton Rouge, LA 70809
Phone (225) 237-1754

8595 Picardy Ave
Ste 100
Baton Rouge, LA 70809
Phone (225) 763-4900

Interoperability endpoints

  • Direct secure messaging: jhickson27840@brgeneralhealthsystem.direct-ci.com

Organizations & group practices 5

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.

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1285021881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13960 FLORIDA BLVD",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "70754",
            "telephone_number": "225-686-0158",
            "fax_number": "225-686-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13960 FLORIDA BLVD",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707541771",
            "telephone_number": "225-686-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKSON",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "342733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, LA

Sources for this page

Verify at the official NPI Registry.