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
- Title
- MD
- Phone
- (225) 241-1119
Practitioners 4
-
Kayla Leigh Dunn, FNP-C
-
Praveen Budde, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2302212 | JP Health and Wellness Center | Certificate of waiver | Apr 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Nephrology Physician |
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
- Alissa Leshon Joseph
- Darnecia Joshua
- Erica Joshua
- Bunny Joubert
- Journey Hospice of Alexandria, LLC
- Just Health
- Just Health
- K.F. Rabie, M.D. a Professional Medical
- K'S Medical Staffing LLC
- Joshua Kador
All providers in Alexandria, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.