Individual provider Active NPI

John McRae Coats V, MD

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1336104751
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
019519 Issued in LA
Practice address
2913 Betin Avenue Primary Health Services Center
Monroe, LA 71201
Phone
(318) 388-1250
Fax
(318) 388-0948
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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 019519 LA Primary

Addresses

Primary practice location

2913 Betin Avenue Primary Health Services Center
Monroe, LA 71201

Mailing address

PO Box 7495 Primary Health Services Center
Monroe, LA 71211
Phone (318) 388-1250

Other identifiers 1

IdentifierTypeStateIssuer
1381705MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000235 LA Practitioner - Family Practice 0446228969 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019519LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Services Center Current Accepting new patients
Primary Health Services Center Past Accepting new patients

Locations

2945 Renwick St
Monroe, LA 71201
Phone (318) 654-8760

2913 Desiard St
Monroe, LA 71201
Phone (318) 651-9914

850 S 2nd St
Monroe, LA 71202
Phone (318) 651-0041

301 McMillan Rd
Unit 1
West Monroe, LA 71291
Phone (318) 737-7616

Interoperability endpoints

  • Direct secure messaging: jcoats@yourcarecommunity.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1336104751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7495 PRIMARY HEALTH SERVICES CENTER",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71211",
            "telephone_number": "318-388-1250",
            "fax_number": "318-388-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 BETIN AVENUE PRIMARY HEALTH SERVICES CENTER",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-388-1250",
            "fax_number": "318-388-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATS",
        "first_name": "JOHN",
        "middle_name": "MCRAE",
        "name_prefix": "Mr.",
        "name_suffix": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "019519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1381705",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.