Leon Dwayne Gallow, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP04992 Issued in LA

Practice address

8762 Highway 182
Opelousas, LA 70570-5603

Phone

(337) 942-2005

NPI assigned

Sep 28, 2006

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

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Family Medicine, LLCGroup PAC ID 9032540265, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Opelousas General Health System Hospital, Opelousas, LA, CCN 190017

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20525/brand/1/csg/1/fhir/r4
• Direct secure messaging: leon.gallow.1@20525.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Southern Family Medicine, LLC

  • Rural Health Clinic/Center
  • Opelousas, LA
  • NPI 1538704010

  Contracted Managing Employee

  CMS ownership

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.

• Southern Family Medicine, LLC

  • Rural Health Clinic/Center
  • Opelousas, LA
  • NPI 1538704010

  Family

  Medicare reassignment Care Compare group NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  LA, Nurse Practitioner

  Medicare reassignment NPD
• Southwest Louisiana Primary Health Care Center, Inc

  • Community Health Clinic/Center
  • Opelousas, LA
  • NPI 1093843187
  Medicare reassignment
• Visionaries Impacting People, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ville Platte, LA
  • NPI 1649810581
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Opelousas General Hospital Authority

  • General Acute Care Hospital
  • Opelousas, LA
  • NPI 1447230388
  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1568554897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8762 HIGHWAY 182",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705603",
            "telephone_number": "337-942-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8762 HIGHWAY 182",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705603",
            "telephone_number": "337-942-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOW",
        "first_name": "LEON",
        "middle_name": "DWAYNE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Hugh Fruge Jr., MD
• Justin K Fuselier, PHARM.D.
• Troy Fusilier, PHARMACIST
• Jessica T Fussell, PA
• Bernadette Marie Gallow
• Shaquana Gallow
• Gary W. Blanchard, M.D., Apmc
• Gastroenterology Specialists of Acadiana, LLC
• Genoa Healthcare LLC
• Robert Gomann Genovese II, PA-C

• Family Nurse Practitioner in Opelousas, LA
• Providers in Opelousas, 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 Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.