Jeffrey C. Poole, M.D.

Primary specialty

Pediatric Dermatology PhysicianTaxonomy code 207NP0225X

License

MD.021909 Issued in LA

Practice address

111 Veterans Memorial Blvd
Suite #406
Metairie, LA 70005-3028

Phone

(504) 838-8225

Fax

(504) 838-8233

NPI assigned

Oct 25, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpoole@sanovaderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Poole Dermatology a Professional Medical Corporation

  • Dermatology Physician
  • Metairie, LA
  • NPI 1215151790
  Authorized official Same address or phone
• Dermasurgery Center, LLC

  • Dermatology Physician
  • Metairie, LA
  • NPI 1053579862
  NPD
• Dermatology Center, LLC

  dba Gulf South Pharmacy

  • Community/Retail Pharmacy
  • Metairie, LA
  • NPI 1457803421
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1518042134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE #406",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053028",
            "telephone_number": "504-838-8225",
            "fax_number": "504-838-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE #406",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053028",
            "telephone_number": "504-838-8225",
            "fax_number": "504-838-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "JEFFREY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "MD.021909",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "LA",
            "license": "MD.021909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1576387",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Theresa Pontiff, RN, BSN, DIPACLM
• Douglas Stuart Pool, MD PSYCHIATRIST PSYC
• Elsa Rae Pool, PHD LCSW
• Poole Dermatology a Professional Medical Corporation
• Amanda Michelle Poole, MA, LBA BCBA
• Melisha Poole
• Kathleen Pope, LMSW
• Maria Pope, RPH
• Michelle Popp
• Angelia Marie Poray

• Pediatric Dermatology Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Pediatric Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.