NPIMap

Individual provider Active NPI

Michelle Pardue, M.D.

  • Family Medicine Physician
  • Springhill, LA
National Provider Identifier
1295937001
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200725 Issued in LA
Practice address
401 11TH St NE
Springhill, LA 71075
Phone
(318) 539-1700
Fax
(318) 539-5688
NPI assigned
Jun 4, 2007
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200725 LA Primary

Addresses

Primary practice location

401 11TH St NE
Springhill, LA 71075

Mailing address

401 11TH St NE
Springhill, LA 71075-4503
Phone (318) 539-1701

Other identifiers 3

IdentifierTypeStateIssuer
166411001MedicaidAR
1071404MedicaidLA
200725OtherLALSBME

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.pardue@smcdc.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071025000020 LA Practitioner - Family Practice 2062509912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 11TH St NE
Springhill, LA 71075-4503
Phone (318) 539-1700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Springhill Medical Services, Inc. Family Medicine CurrentSince Aug 1, 2007 Accepting new patients
Springhill Medical Services, Inc. CurrentSince Aug 1, 2007 Accepting new patients
Springhill Medical Services, Inc. Past Accepting new patients
Southerncare, Inc. Family Medicine Past Accepting new patients
La First Street, LLC Past Accepting new patients
Springhill Medical Services, Inc. Past Accepting new patients
PMG Opco - Springhill LLC Past Accepting new patients

Locations

106 Tri State Dr
Sarepta, LA 71071
Phone (318) 994-2266

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

401 11th St NE
Springhill, LA 71075
Phone (318) 539-1700

401 11th St NE
#N
Springhill, LA 71075

Interoperability endpoints

  • Direct secure messaging: michelle.pardue@smcdc.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Timber Springs Rehab and RetirementSpringhill, LA, CCN 195353 Skilled nursing facility Adp of the SNF Oct 9, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 12

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1295937001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 11TH ST NE",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710754503",
            "telephone_number": "318-539-1701",
            "fax_number": "318-539-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 11TH ST NE",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "71075",
            "telephone_number": "318-539-1700",
            "fax_number": "318-539-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDUE",
        "first_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "200725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166411001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1071404",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSBME",
            "identifier": "200725",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.pardue@smcdc.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "one direct address for all providers goes to facility",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "401 11th St NE",
            "city": "Springhill",
            "state": "LA",
            "country_code": "US",
            "postal_code": "71075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springhill, LA

Sources for this page

Verify at the official NPI Registry.