Individual provider Active NPI

Taylor Desormeaux Phillippi, MD

  • Family Medicine Physician
  • Franklin, LA
National Provider Identifier
1366070260
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
337047 Issued in LA
Practice address
200 Medical Dr Ste B
Franklin, LA 70538-4232
Phone
(337) 828-5099
NPI assigned
Mar 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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
Family Medicine Physician 207Q00000X 337047 LA Primary

Addresses

Primary practice location

200 Medical Dr Ste B
Franklin, LA 70538-4232

Mailing address

200 Medical Dr Ste B
Franklin, LA 70538-4232

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
I20231109000715 LA Practitioner - Family Practice 3870900194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Service District No 1 of the Parish of St MaryGroup PAC ID 6800782541, 23 clinicians

Practice addresses (Care Compare)

1029 Northwest Blvd
Franklin, LA 70538-3407
Phone (337) 828-0760

200 Medical Dr
Franklin, LA 70538-4231
Phone (337) 828-5099

Hospital & facility affiliations

  • Bayou Bend Health System Hospital, Franklin, LA, CCN 191310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337047LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of the Parish of St. Mary Family Medicine CurrentSince Sep 27, 2023 Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary CurrentSince Sep 27, 2023 Accepting new patients

Locations

200 Medical Dr
Ste C
Franklin, LA 70538
Phone (337) 907-6102

200 Medical Dr
Franklin, LA 70538
Phone (337) 315-3988

200 Medical Dr
Ste B
Franklin, LA 70538
Phone (337) 828-5099

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.

Hospital & facility affiliations 1

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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1366070260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL DR STE B",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL DR STE B",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384232",
            "telephone_number": "337-828-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPPI",
        "first_name": "TAYLOR",
        "middle_name": "DESORMEAUX",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "337047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, LA

Sources for this page

Verify at the official NPI Registry.