Organization Active NPI

JP Health and Wellness LLC

  • Internal Medicine Physician
  • Alexandria, LA
National Provider Identifier
1487388252
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 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
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

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

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Nephrology PhysicianGroup: 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

Medicare participation

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

Enrollment records 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2302212JP Health and Wellness Center3746 Government St, Alexandria, LA 71302Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1487388252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 GOVERNMENT ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713023252",
            "telephone_number": "225-241-1119",
            "fax_number": "855-592-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3746 GOVERNMENT ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713023252",
            "telephone_number": "318-239-9888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 Park Place Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013946",
            "country_code": "US",
            "telephone_number": "225-241-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JP HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-PETERS",
        "authorized_official_first_name": "DEMARCQUANAEE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "225-241-1119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.