Active NPI
DRW
Doing business as Bayou Family Care
- Family Medicine Physician
- Rayville, LA
National Provider Identifier
1497357156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DRW
- Doing business as
- Bayou Family Care
- Practice address
- 832 Julia St
Rayville, LA 71269-2608 - Phone
- (318) 728-4787
- Fax
- (318) 728-2598
- NPI assigned
- Nov 9, 2020
- Last updated
- Nov 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brittney Whitlock
- Title
- Credentialing Manager
- Phone
- (318) 325-6200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
832 Julia St
Rayville, LA 71269-2608
Mailing address
PO Box 15581
Monroe, LA 71207-5581
Other names 1
- BAYOU FAMILY CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2199021 | Bayou Family Care | Certificate of waiver | Nov 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
832 Julia St
Rayville, LA 71269
Phone (318) 728-3831
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.
-
- Family Nurse Practitioner
- Rayville, LA
- NPI 1205187499
-
- Family Nurse Practitioner
- Rayville, LA
- NPI 1134636293
-
- Family Nurse Practitioner
- Rayville, LA
- NPI 1922231992
-
- General Practice Dentistry
- Rayville, LA
- NPI 1629154612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605484800000",
"number": "1497357156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15581",
"city": "MONROE",
"state": "LA",
"postal_code": "712075581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 JULIA ST",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712692608",
"telephone_number": "318-728-4787",
"fax_number": "318-728-2598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRW",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A",
"authorized_official_last_name": "WHITLOCK",
"authorized_official_first_name": "BRITTNEY",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "318-325-6200"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BAYOU FAMILY CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BAYOU FAMILY CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rayville, LA
- Dfallc (Caring Angel Connection Inc.)
- Aquilla Dorsey
- Jonathan Samuel Doucet, DDS
- Dr. Jennifer N. Boles, DDS, LLC (Southern Smiles)
- Crystal Gayle Drewry, LPN
- DSKH Rayville LLC (Rayville Nursing and Rehabilitation)
- David Howard Dunn, M.D.
- Fellows First Recovery LLC
- John Brandenburg Flanagan
- Dwight Aaron Foster, CIT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.