Organization Active NPI

Flourish Dermatology and Aesthetics

  • Dermatology Physician
  • New Orleans, LA
National Provider Identifier
1508603606
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
FLOURISH DERMATOLOGY AND AESTHETICS
Practice address
1600 Saint Charles Ave Ste 101
New Orleans, LA 70130-4436
Phone
(504) 434-2319
NPI assigned
Jul 15, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Lauren Payne, MDNPI 1982963559
Title
Medical Doctor/Owner
Phone
(614) 595-4892

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1600 Saint Charles Ave Ste 101
New Orleans, LA 70130-4436

Mailing address

317 Riggs Park PL NE
Washington, DC 20011-2580
Phone (614) 595-4892

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241003001434 LA Part B Supplier - Clinic/Group Practice 9335670181 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

1600 Saint Charles Ave
Ste 101
New Orleans, LA 70130
Phone (504) 434-2319

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1508603606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 RIGGS PARK PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112580",
            "telephone_number": "614-595-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT CHARLES AVE STE 101",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304436",
            "telephone_number": "504-434-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH DERMATOLOGY AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "614-595-4892",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.