NPIMap

Individual provider Active NPI

David Allan Longmire Jr., M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1477877264
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207480 Issued in LA
Practice address
7777 Hennessy Blvd Ste 701
Baton Rouge, LA 70808-4370
Phone
(225) 765-5864
Fax
(225) 765-2013
NPI assigned
Mar 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 207480 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd Ste 701
Baton Rouge, LA 70808-4370

Mailing address

1777 Glenmore Ave
Baton Rouge, LA 70808-1232
Phone (225) 933-5454

Other practice location 1

1777 Glenmore Ave
Baton Rouge, LA 70808-1232
Phone (225) 933-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222002475 LA Practitioner - Emergency MedicinePractitioner - Family Practice 4880917921 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glen D. Hurlston, M.D., ApmcGroup PAC ID 3779557541, 26 clinicians
South Central Physicians PLLCGroup PAC ID 6507195492, 41 clinicians
Jena Ess Hospitalist LLCGroup PAC ID 5294954533, 3 clinicians
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians
Hospital Physician Services - Southeast Professional CorporationGroup PAC ID 5597774554, 825 clinicians

Practice addresses (Care Compare)

1020 Fertitta Blvd
Leesville, LA 71446-4645

1020 W Fertita Blvd
Leesville, LA 71446-4645
Phone (337) 239-9041

165 Beech Springs Rd
Jonesboro, LA 71251-2013
Phone (318) 259-4435

187 9TH St
Jena, LA 71342-3900
Phone (318) 992-9200

600 S Pine St
Deridder, LA 70634-4942
Phone (337) 462-7100

6300 Main St
Zachary, LA 70791-4037
Phone (225) 658-4000

Hospital & facility affiliations

  • Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050
  • Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020
  • Lasalle General Hospital Hospital, Jena, LA, CCN 190145
  • Byrd Regional Hospital Hospital, Leesville, LA, CCN 190164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207480LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glen D. Hurlston, M.D., Apmc CurrentSince Apr 20, 2025 Accepting new patients
Jena Ess Hospitalist LLC CurrentSince May 13, 2023 Accepting new patients
South Central Physicians PLLC CurrentSince May 12, 2020 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jan 3, 2026 Accepting new patients
Jena Ess LLC CurrentSince May 13, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jun 2, 2018 Accepting new patients
Concord Medical Group PLLC CurrentSince Jun 2, 2018 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Past Accepting new patients
Hospital Service District No 2 of Parish of Beauregard State of la Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

4601 McHugh Rd
Zachary, LA 70791
Phone (225) 658-6800

Organizations & group practices 9

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1477877264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 GLENMORE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081232",
            "telephone_number": "225-933-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 701",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084370",
            "telephone_number": "225-765-5864",
            "fax_number": "225-765-2013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1777 Glenmore Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708081232",
            "country_code": "US",
            "telephone_number": "225-933-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGMIRE",
        "first_name": "DAVID",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "207480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.