Baton Rouge General Physicians Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP, LLC

Practice address

1286 Del Este Ave
Denham Springs, LA 70726-4898

Phone

(225) 667-3100

Fax

(225) 667-3993

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Kendall A Johnson

Title

Cfo

Phone

(225) 237-1645

Specialties & licenses 1

Addresses

Other names 1

• Baton Rouge General Physicians - Denham Springs Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Baton Rouge General Physicians Medical Group, LLC

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1174808174

  O20120109000384

  Same enrollment
• Baton Rouge General Physicians Medical Group, LLC

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1841577988

  O20120109000384

  Same enrollment
• Baton Rouge General Primary Care, LLC

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1114356979

  O20120109000384

  Same enrollment

Practitioners 4

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

• Timothy A Bella, M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1205894995

  Family Medicine

  NPD (past)
• Stacy Denise Jones-Pedescleaux, M.D.

  • Family Medicine Physician
  • Prairieville, LA
  • NPI 1962670570

  Family Medicine

  NPD (past)
• Keren Elizabeth Ray, M.D.

  • Pediatrics Physician
  • Baton Rouge, LA
  • NPI 1871681999
  NPD (past)
• Vasanthi Vinayagam, MD

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1376520650

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1295005247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54314",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 DEL ESTE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264898",
            "telephone_number": "225-667-3100",
            "fax_number": "225-667-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-237-1645"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baton Rouge General Physicians - Denham Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sam Banks III
• Amanda Barbee, MED, ATC, LAT
• Leslie D Barnett, MSW, LCSW
• Emily Ann Basile
• Sion Desre Basso
• Baton Rouge General Physicians, Inc.
• Luke Baumgartner, DDS
• Bayoutransit Solutions
• Amber Bazar
• Marrene Williams Beatty, LCSW-BACS

• All providers in Denham Springs, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.