JP Health and Wellness LLC

Organization Active NPI Internal Medicine Physician · Alexandria, LA

NPI 1487388252 · NPPES record last updated Apr 17, 2025

Key facts

NPI
1487388252
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
JP HEALTH AND WELLNESS LLC
Practice address
3746 Government St
Alexandria, LA 71302-3252
Phone
(318) 239-9888
NPI assigned
Jul 15, 2022
Organization subpart
No

Authorized official

Name
Demarcquanaee Johnson-Peters, MD NPI 1710341219
Title
MD
Phone
(225) 241-1119

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

Practitioners 4

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2302212JP Health and Wellness Center
3746 Government St, Alexandria, LA 71302
Certificate of waiverApr 4, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20221214002415 LA Part B Supplier - Clinic/Group Practice 4183093198 Receives reassigned benefits from 2 practitioners
Practice locations: Alexandria, LA

National Provider Directory

Locations

3746 Government St
Alexandria, LA 71302
Phone (318) 239-9888

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X Yes
Nephrology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RN0300X
Clinic/Center 261Q00000X

Addresses

Primary practice location

3746 Government St
Alexandria, LA 71302-3252

Mailing address

3746 Government St
Alexandria, LA 71302-3252
Phone (225) 241-1119

Other practice location 1

526 Park Place Dr
Alexandria, LA 71301-3946
Phone (225) 241-1119

Other providers in Alexandria, LA

All providers in Alexandria, LA · Internal Medicine Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.