Organization Active NPI

H Lucius Laffitte Jr MD LLC

  • Family Medicine Physician
  • Beaufort, SC
National Provider Identifier
1447490347
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
H LUCIUS LAFFITTE JR MD LLC
Practice address
27B Kemmerlin LN
Beaufort, SC 29907-2702
Phone
(843) 322-8477
Fax
(843) 322-8077
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Dr. Henry Lucius Laffitte Jr., MDNPI 1912998204
Title
Owner
Phone
(843) 322-8477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

27B Kemmerlin LN
Beaufort, SC 29907-2702

Mailing address

27B Kemmerlin LN
Beaufort, SC 29907-2702
Phone (843) 322-8477

Other identifiers 1

IdentifierTypeStateIssuer
TL6561MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090303000707 SC Part B Supplier - Clinic/Group Practice 8820154651 Receives reassigned benefits from 2 practitioners
Practice locations: Beaufort, SC

National Provider Directory

National Provider Directory

Locations

27B Kemmerlin Ln
Beaufort, SC 29907
Phone (843) 322-8477

27 Kemmerlin Ln
#B
Beaufort, SC 29907
Phone (843) 322-8477

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1447490347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27B KEMMERLIN LN",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072702",
            "telephone_number": "843-322-8477",
            "fax_number": "843-322-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27B KEMMERLIN LN",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072702",
            "telephone_number": "843-322-8477",
            "fax_number": "843-322-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H LUCIUS LAFFITTE JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "LAFFITTE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "LUCIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-322-8477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL6561",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.