Individual provider Active NPI

Logan Townsend-Eblen, PA-C

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1376423921
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
349491 Issued in LA
Practice address
7777 Hennessy Blvd Ste 2003B
Baton Rouge, LA 70808-4300
Phone
(337) 534-0952
NPI assigned
Sep 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 349491 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd Ste 2003B
Baton Rouge, LA 70808-4300

Mailing address

7777 Hennessy Blvd Ste 2003B
Baton Rouge, LA 70808-4300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211003151 LA Practitioner - Physician Assistant 2961996483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13150 Sweet Gum Rd
Brooksville, FL 34613-4195

5000 Hennessy Blvd
Baton Rouge, LA 70808-4367

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
349491LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Physician Associates, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

Dept AT952639
Atlanta, GA 31192

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

Organizations & group practices 1

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": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1376423921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 2003B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 2003B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "337-534-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND-EBLEN",
        "first_name": "LOGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "349491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.