Individual provider Active NPI

Charles Grady Hornsby, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Baton Rouge, LA
National Provider Identifier
1407824204
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2719 Issued in LA
Practice address
5227 Flanders Dr
Baton Rouge, LA 70808-9169
Phone
(225) 769-3600
Fax
(225) 767-3275
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2719 LA Primary

Addresses

Primary practice location

5227 Flanders Dr
Baton Rouge, LA 70808-9169

Mailing address

5227 Flanders Dr
Baton Rouge, LA 70808-9169
Phone (225) 769-3600

Other identifiers 2

IdentifierTypeStateIssuer
F2281OtherLABCBS OF LA
1827193MedicaidLA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081020000132 LA Practitioner - DentistPractitioner - Oral Surgery 3072671130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
82.12
Promoting interoperability
100
Improvement activities
40
Cost
71.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2719LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC Oral and Maxillofacial Surgery CurrentSince Oct 2, 2019 Accepting new patients
Lsuhn Billing LLC CurrentSince Oct 2, 2019 Accepting new patients

Locations

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407824204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 FLANDERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089169",
            "telephone_number": "225-769-3600",
            "fax_number": "225-767-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5227 FLANDERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089169",
            "telephone_number": "225-769-3600",
            "fax_number": "225-767-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "CHARLES",
        "middle_name": "GRADY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "2719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LA",
            "identifier": "F2281",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1827193",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.