Individual provider Active NPI

Guy Godeaux, MD

  • Emergency Medicine Physician
  • Opelousas, LA
National Provider Identifier
1407803547
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
021653 Issued in LA
Practice address
539 E Prudhomme St
Opelousas, LA 70570-6499
Phone
(337) 896-8408
NPI assigned
May 27, 2006
Last updated
Jul 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 021653 LA Primary

Addresses

Primary practice location

539 E Prudhomme St
Opelousas, LA 70570-6499

Mailing address

200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other identifiers 1

IdentifierTypeStateIssuer
1995011MedicaidLA

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
I20050324000199 LA Practitioner - Emergency Medicine 0042266900 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadiana Acute Care Associates, LLCGroup PAC ID 0547390056, 26 clinicians

Practice addresses (Care Compare)

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021653LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Acute Care Associates, LLC Emergency Medicine CurrentSince Feb 4, 2021 Accepting new patients
Acadiana Urgent Care Associates, LLC CurrentSince Apr 25, 2013 Accepting new patients
Opelousas Emergency Group LLC Emergency Medicine CurrentSince Apr 1, 2005 Accepting new patients

Locations

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

Organizations & group practices 3

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 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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1407803547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 E PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706499",
            "telephone_number": "337-896-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODEAUX",
        "first_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "021653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1995011",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.