Anthony Micheal Peperone, APRN

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

304496 Issued in LA

Practice address

4430 Highway 22 Ste B
Mandeville, LA 70471-3310

Phone

(985) 626-3470

Fax

(985) 674-5377

NPI assigned

Sep 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tony'S Health & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, LA
  • NPI 1427629336
  Medicare reassignment NPD Authorized official
• Redi-Med Psychiatry

  dba Redi-med Psychiatry LLC

  • Psychiatry Physician
  • Mandeville, LA
  • NPI 1841781911
  Medicare reassignment

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1477103240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 HIGHWAY 22 STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713310",
            "telephone_number": "985-626-3470",
            "fax_number": "985-674-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 HIGHWAY 22 STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713310",
            "telephone_number": "985-626-3470",
            "fax_number": "985-674-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPERONE",
        "first_name": "ANTHONY",
        "middle_name": "MICHEAL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "LA",
            "license": "304496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tony@redimedclinic.com",
            "affiliation": "N",
            "endpointDescription": "tony@redimedclinic.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4430 Highway 22 Ste B",
            "city": "Mandeville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704713310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Payne, DDS, MS
• Virginia Catherine Jensen Peden, LMFT
• Pediatrics Reimagined LLC (Your Local Pediatrics on Demand)
• Pegasus Behavioral Services LLC
• Megan Lora Penton
• Max Spurlin Peragine
• Breizen Peralta
• Jorge Pedro Perera, DDS
• Perfect Practice MD LLC
• Performance Lab'S LLC (Performance Lab'S)

• Addiction Medicine (Psychiatry & Neurology) Physician in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.