NPIMap

Individual provider Active NPI

Charles Garreth Clines

  • Hospitalist Physician
  • New Orleans, LA
National Provider Identifier
1316478357
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
323158 Issued in LA
Practice address
1542 Tulane Ave
New Orleans, LA 70112-2865
Phone
(504) 568-4624
NPI assigned
Mar 22, 2017
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 NU
Hospitalist Physician 208M00000X 323158 LA Primary

Addresses

Primary practice location

1542 Tulane Ave
New Orleans, LA 70112-2865

Mailing address

1533 Highway 163
Jonesboro, AR 72404-8612

Other practice location 1

8002 Illinois St
Little Rock, AR 72227-4017
Phone (870) 243-4408

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
I20200701003186 LA Practitioner - Internal Medicine 7012284235 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-6565

4228 Houma Blvd
Suite 200
Metairie, LA 70006-3004
Phone (504) 454-7878

4320 Houma Blvd
FL 6
Metairie, LA 70006-2961
Phone (504) 503-4109

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Aug 16, 2021 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2020 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 16, 2021 Accepting new patients
University Healthcare System, L.C. Past Accepting new patients
University Medical Center Management Corporation Past Accepting new patients
Metairie Physician Services Inc. Internal Medicine Past Accepting new patients

Locations

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Organizations & group practices 10

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 5

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1316478357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 HIGHWAY 163",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-4624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8002 Illinois St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722274017",
            "country_code": "US",
            "telephone_number": "870-243-4408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINES",
        "first_name": "CHARLES",
        "middle_name": "GARRETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "323158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.