Organization Active NPI

Geaux Family Health, LLC

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1285069088
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GEAUX FAMILY HEALTH, LLC
Practice address
2900 Forsythe Ave
Monroe, LA 71201-3010
Phone
(318) 600-4364
Fax
(318) 605-3149
NPI assigned
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Mrs. Toni Green
Title
Credentialing Manager
Phone
(318) 600-4364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2900 Forsythe Ave
Monroe, LA 71201-3010

Mailing address

2900 Forsythe Ave
Monroe, LA 71201-3010
Phone (318) 600-4364

Other identifiers 1

IdentifierTypeStateIssuer
1629324355OtherLANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131220001073 LA Part B Supplier - Clinic/Group Practice 6608003553 Receives reassigned benefits from 4 practitioners
Practice locations: Monroe, LA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2054060Geaux Family Health, LLC2900 Forsythe Ave, Monroe, LA 71201Certificate of waiverFeb 12, 2027

National Provider Directory

National Provider Directory

Locations

2900 Forsythe Ave
Monroe, LA 71201
Phone (318) 600-4364

1401 N 18th St
Ste A
Monroe, LA 71201
Phone (318) 600-4364

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1285069088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013010",
            "telephone_number": "318-600-4364",
            "fax_number": "318-605-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013010",
            "telephone_number": "318-600-4364",
            "fax_number": "318-605-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEAUX FAMILY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "318-600-4364",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629324355",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.