Medamerica LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

1416142 Issued in LA

Legal business name

MEDAMERICA LLC

Practice address

9305 Main St
Suite D
Zachary, LA 70791-7441

Phone

(225) 654-4290

Fax

(225) 654-0102

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dewitt Ginn

Title

Owner Office Manager

Phone

(225) 654-4290

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407901978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 MAIN ST",
            "address_2": "SUITE D",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917441",
            "telephone_number": "225-654-4290",
            "fax_number": "225-654-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 MAIN ST",
            "address_2": "SUITE D",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917441",
            "telephone_number": "225-654-4290",
            "fax_number": "225-654-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GINN",
        "authorized_official_first_name": "DEWITT",
        "authorized_official_title_or_position": "OWNER OFFICE MANAGER",
        "authorized_official_telephone_number": "225-654-4290"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "LA",
            "license": "1416142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1416142",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse McCray
• Tyejha M McElwee
• Kristen McGee, PHYSICAL THERAPIST
• Leah McMorris, PA
• MD Express Urgent Care
• Medcomp RX
• Medcomp Sciences LLC
• Medcomp Tox, LLC
• Medical Pharmacy Inc.
• Medical Pharmacy Inc.

• Community Health Clinic/Center in Zachary, LA
• Providers in Zachary, LA by specialty
• Community Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.