Immacula Saint-Louis, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2005-01289 Issued in NC

Practice address

303 Green St E
Wilson, NC 27893-4105

Phone

(252) 243-9800

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, SC, MD3 enrollments

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 3

Specialty

Pediatric Medicine

Education

Tufts University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Positive Generation in Christ IncorporatedGroup PAC ID 6800138835, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: immacula.saint-louis@nbfson-nc.direct.office.nextgen.com
• Direct secure messaging: istlouis94716@capefearvalley.direct-ci.com
• Direct secure messaging: isaintlouis85944@direct.anmedhealth.net
• Direct secure messaging: immacula.saint.louis.1@20247.direct.athenahealth.com

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.

• Positive Generation in Christ, Incorporated

  • Community/Behavioral Health Agency
  • Tarboro, NC
  • NPI 1942562541

  SC

  Medicare reassignment Care Compare group NPD
• Carolinaeast Physicians

  • Cardiovascular Disease Physician
  • New Bern, NC
  • NPI 1104066794

  Pediatrics

  Medicare reassignment NPD
• D-Pom L.L.C

  • Community/Behavioral Health Agency
  • Tarboro, NC
  • NPI 1609076942
  Medicare reassignment NPD
• DLP Maria Parham Physician Practices, LLC

  dba Maria Parham Primary Care

  • Family Medicine Physician
  • Henderson, NC
  • NPI 1215273628
  Medicare reassignment NPD
• Granville Health System

  dba Granville CRNA Group

  • Certified Registered Nurse Anesthetist
  • Oxford, NC
  • NPI 1275638512
  Medicare reassignment NPD
• Williamston Clinic Corp

  • Family Medicine Physician
  • Williamston, NC
  • NPI 1811990443
  Medicare reassignment NPD
• Insight Family Center

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1518232560
  Medicare reassignment
• Positive Generation in Christ, Incorporated

  dba PGIC Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1841846615
  NPD (past) Authorized official
• Carolinaeast Physicians

  • Obstetrics & Gynecology Physician
  • New Bern, NC
  • NPI 1619868981
  NPD
• Carolinaeast Physicians

  • Urology Physician
  • Jacksonville, NC
  • NPI 1689105603

  Pediatrics

  NPD
• Comprehensive Interventions Inc

  • Community/Behavioral Health Agency
  • Williamston, NC
  • NPI 1366737298
  NPD
• DLP Maria Parham Physician Practices LLC

  • Rural Health Clinic/Center
  • Henderson, NC
  • NPI 1578256749
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1356449144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GREEN ST E",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934105",
            "telephone_number": "252-243-9800",
            "fax_number": "252-243-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GREEN ST E",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934105",
            "telephone_number": "252-243-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT-LOUIS",
        "first_name": "IMMACULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-03-27",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NC",
            "license": "2005-01289",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "151877",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0088037",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2005-01289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3196209",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rural Access Integration Network (Rain) by Rmbi
• S & B Home Services LLC
• Safe Hands Home Care LLC
• Safe Haven Wellness, PLLC
• Saint Lyfe Home Care LLC
• Philona Saintelmy
• Sallie B. Howard School
• Katherine Marie Sanchez, RBT
• Ivy Jackie Sanders
• Ulysses Santiago

• Pediatrics Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.