Active NPI
Rachael Garrison, PA-C
- Physician Assistant
- Leesville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.327545
- Practice address
- 1020 W Fertitta Blvd
Leesville, LA 71446-4645 - Phone
- (337) 239-9041
- NPI assigned
- Jul 26, 2016
- Last updated
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2114 | KY | |
| Physician Assistant | 363A00000X | PA.327545 | LA | Primary |
Addresses
Primary practice location
1020 W Fertitta Blvd
Leesville, LA 71446-4645
Mailing address
248 Smithbrook Rd
Leesville, LA 71446-2156
Phone (270) 737-1212
Other practice location 1
1585 3rd St
Fort Polk, LA 71459-5102
Phone (337) 531-3118
Other practice location 2
248 Smithbrook Rd
Leesville, LA 71446-2156
Phone (205) 317-8158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 Fertitta Blvd
Leesville, LA 71446-4645
1020 W Fertita Blvd
Leesville, LA 71446-4645
Phone (337) 239-9041
165 Beech Springs Rd
Jonesboro, LA 71251-2013
Phone (318) 259-4435
600 S Pine St
Deridder, LA 70634-4942
Phone (337) 462-7100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2114 | KY | MD | Physician Assistant |
| PA.327545 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Physician Assistant | Current | Accepting new patients |
| Calcasieu Urgent Care, LLC | Current | Accepting new patients | |
| Calcasieu Urgent Care LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Leesville, LA
- NPI 1306913488
-
dba Calcasieu Urgent Care
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1467715490
-
- Family Medicine Physician
- Leesville, LA
- NPI 1801895495
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1194482398
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
Physician Assistant
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beauregard Memorial Hospital
- Rural Acute Care Hospital
- Deridder, LA
- NPI 1831193499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1528511615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 SMITHBROOK RD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714462156",
"telephone_number": "270-737-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W FERTITTA BLVD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464645",
"telephone_number": "337-239-9041"
}
],
"practiceLocations": [
{
"address_1": "1585 3rd St",
"address_purpose": "LOCATION",
"city": "Fort Polk",
"state": "LA",
"postal_code": "714595102",
"country_code": "US",
"telephone_number": "337-531-3118",
"fax_number": "337-531-3366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "248 Smithbrook Rd",
"address_purpose": "LOCATION",
"city": "Leesville",
"state": "LA",
"postal_code": "714462156",
"country_code": "US",
"telephone_number": "205-317-8158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRISON",
"first_name": "RACHAEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA2114",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.327545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesville, LA
- Freedom Behavioral Hospital of Leesville LLC (Freedom Behavioral Hospital of Leesville)
- Fresenius Medical Care Leesville, LLC (Fresenius Kidney Care Leesville)
- Christian Freund, MD
- Gaddis Medical & Aesthetics, LLC
- Matthew Skrable Ganey, DDS
- Ana Sofia Garza
- Cathryn Lea Gaur, M.A. CCC-SLP
- Genesis Mortuary Transport LLC (Genesis Transport)
- Guru Prasad Ghanta, M.D.
- Supriya Ghanta, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.
- 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.