NPIMap

Organization Active NPI

Pedicons, Inc.

  • Specialist
  • Denham Springs, LA
National Provider Identifier
1295861128
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PEDICONS, INC.
Practice address
10130 Crossing Way Ste 335
Denham Springs, LA 70726-5889
Phone
(225) 667-2777
Fax
(225) 667-0064
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Mrs. Briana MayoNPI 1891938627
Title
Director of Operations
Phone
(255) 667-2777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

10130 Crossing Way Ste 335
Denham Springs, LA 70726-5889

Mailing address

10130 Crossing Way Ste 335
Denham Springs, LA 70726-5889
Phone (225) 667-2777

Other practice location 1

5151 Plank Rd Ste 38
Baton Rouge, LA 70805-3501
Phone (225) 356-2006

Other identifiers 2

IdentifierTypeStateIssuer
4505167OtherLASUBMITTER NUMBER
1947172MedicaidLA

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
19D0955979Pedicons, Inc10130 Crossing Way, Ste 335, Denham Springs, LA 70726Certificate of waiverJan 14, 2027

National Provider Directory

National Provider Directory

Locations

14305 Grand Settlement Blvd
Ste B
Baton Rouge, LA 70818

2915 S Sherwood Forest Blvd
Ste B
Baton Rouge, LA 70816

5151 Plank Rd
Ste 38
Baton Rouge, LA 70805
Phone (225) 356-2006

5151 Plank Rd
Ste 310
Baton Rouge, LA 70805

10130 Crossing Way
Denham Springs, LA 70726

10130 Crossing Way
Ste 335
Denham Springs, LA 70726
Phone (225) 667-2777

Practitioners & affiliated clinicians

Practitioners 8

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1295861128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 CROSSING WAY STE 335",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265889",
            "telephone_number": "225-667-2777",
            "fax_number": "225-667-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 CROSSING WAY STE 335",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265889",
            "telephone_number": "225-667-2777",
            "fax_number": "225-667-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 Plank Rd Ste 38",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708053501",
            "country_code": "US",
            "telephone_number": "225-356-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDICONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "255-667-2777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMITTER NUMBER",
            "identifier": "4505167",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1947172",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.