Charles G McLemore, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN078593-AP03159 Issued in LA

Practice address

1106 Ryan St
Lake Charles, LA 70601-5252

Phone

(337) 497-9355

Fax

(337) 437-3692

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: charles.mclemore@catc.eclinicaldirectplus.com

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.

• Acs Primary Care Physicians Louisiana PC

  • Emergency Medicine Physician
  • Alexandria, LA
  • NPI 1306889092
  NPD (past)
• Hunter McGuire Medical Center

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1942413612
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1497736995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015252",
            "telephone_number": "337-497-9355",
            "fax_number": "337-437-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015252",
            "telephone_number": "337-497-9355",
            "fax_number": "337-437-3692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 W McNeese St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "70605",
            "country_code": "US",
            "telephone_number": "337-478-3177",
            "fax_number": "337-474-9672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEMORE",
        "first_name": "CHARLES",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN078593-AP03159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531812",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garnett Richard McGuirt, OD
• McKenzie 21St Century Consulting LLC
• Shakera L McKenzie
• William Carson McKinney, PT,DPT
• Mary Jane McKinnie, NP
• Erin McLinsky
• Ray Frank McLinsky Jr.
• Danielle Lavonne McLurkin, M.D.
• Lashanda McMahon
• Brian McMillin, HIS

• Family Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.