Individual provider Active NPI

Jennifer Lashay Atkins, M.D.

  • Pediatrics Physician
  • Thibodaux, LA
National Provider Identifier
1457679300
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
350254 Issued in LA
Practice address
604 N Acadia Rd Ste 100
Thibodaux, LA 70301-4897
Phone
(985) 447-9045
NPI assigned
May 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25924 MS
Pediatrics Physician 208000000X ME179267 FL
Pediatrics Physician 208000000X W3332 TX
Pediatrics Physician 208000000X 350254 LA Primary
Pediatrics Physician 208000000X 070420 GA
Pediatrics Physician 208000000X 32527 AL
Pediatrics Physician 208000000X 79686 AZ

Addresses

Primary practice location

604 N Acadia Rd Ste 100
Thibodaux, LA 70301-4897

Mailing address

604 N Acadia Rd Ste 100
Thibodaux, LA 70301-4897
Phone (985) 447-9045

Other identifiers 2

IdentifierTypeStateIssuer
00407762MedicaidMS
170606MedicaidAL

Other names 1

  • Jennifer Lashay Rumph Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140106001349 LA Practitioner - Pediatric Medicine 2365670916 Reassigns benefits to 1 organization
I20220125002487 MS Practitioner - Pediatric Medicine 2365670916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32527ALMDPediatrics Physician
79686AZMDPediatrics Physician
ME179267FLMDPediatrics Physician
070420GAMDPediatrics Physician
350254LAMDPediatrics Physician
W3332TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Center Pediatrics CurrentSince Oct 19, 2021 Accepting new patients
George County Hospital Current Accepting new patients
Inpatient Physician Services CurrentSince Oct 19, 2021 Accepting new patients
Thibodaux Regional Network Development Corporation Past Accepting new patients

Locations

92 Ratliff St
Lucedale, MS 39452
Phone (601) 947-1330

92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411

859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286

Interoperability endpoints

  • Direct secure messaging: jenniferatkins@grh.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA
  • Direct secure messaging: jenniferatkins@communitym.allscriptsdirect.net

Organizations & group practices 5

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": "1273968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1457679300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD STE 100",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-447-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD STE 100",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-447-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "JENNIFER",
        "middle_name": "LASHAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-16",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "25924",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME179267",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "W3332",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "350254",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "070420",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "32527",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "79686",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00407762",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170606",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RUMPH",
            "middle_name": "LASHAY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.