Fair Medical Clinic Apmc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.202650 Issued in LA

Legal business name

FAIR MEDICAL CLINIC APMC

Practice address

615 Bienville St
Natchitoches, LA 71457-5730

Phone

(318) 352-6800

Fax

(318) 352-6803

NPI assigned

Apr 8, 2010

Last updated

Apr 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack David Fair, M.D.NPI 1568673028

Title

Owner/Physician

Phone

(318) 352-6800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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.

• Jack D Fair, MD

  • Family Medicine Physician
  • Natchitoches, LA
  • NPI 1568673028
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1508182197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 BIENVILLE ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575730",
            "telephone_number": "318-352-6800",
            "fax_number": "318-352-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BIENVILLE ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575730",
            "telephone_number": "318-352-6800",
            "fax_number": "318-352-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR MEDICAL CLINIC APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "318-352-6800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.202650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Dewayne Evans I
• Lisa Evans
• Evergreen Presbyterian Ministries, Inc. (Des Negis Community Home)
• Evergreen Presbyterian Ministries, Inc. (Natchitoches Day Habilitation Waiver)
• Evergreen Presbyterian Ministries, Inc. (Oak Grove Group Home)
• Jack D Fair, MD
• Family Doctor of Natchitoches, Inc.
• Family NP Healthcare, LLC
• Melissa S Farley
• Angie Farris

• Family Medicine Physician in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.