Organization Active NPI

The Arthritis Center of Southwest Louisiana, LLC

  • Rheumatology Physician
  • Lake Charles, LA
National Provider Identifier
1578607693
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
24079 Issued in LA
Legal business name
THE ARTHRITIS CENTER OF SOUTHWEST LOUISIANA, LLC
Practice address
1727 Imperial Blvd BLDG 1B
Lake Charles, LA 70605-5392
Phone
(337) 312-8617
Fax
(337) 721-2939
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Mr. Max Morris Jr.
Title
Owner
Phone
(337) 540-1699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 24079 LA Primary

Addresses

Primary practice location

1727 Imperial Blvd BLDG 1B
Lake Charles, LA 70605-5392

Mailing address

1727 Imperial Blvd BLDG 1B
Lake Charles, LA 70605-5392
Phone (337) 312-8617

Other identifiers 1

IdentifierTypeStateIssuer
1485055MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060104000680 LA Part B Supplier - Clinic/Group Practice 1456374503 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Charles, LA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2305644Arthritis Center of Southwest Louisiana, the1727 Imperial Blvd Suite 1B, Lake Charles, LA 70605Certificate of waiverJun 3, 2028

National Provider Directory

National Provider Directory

Locations

748 Bayou Pines East Dr
Ste D
Lake Charles, LA 70601
Phone (337) 436-8113

126 Arlington Dr
Lake Charles, LA 70605
Phone (337) 436-8113

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1578607693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 IMPERIAL BLVD BLDG 1B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055392",
            "telephone_number": "337-312-8617",
            "fax_number": "337-721-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 IMPERIAL BLVD BLDG 1B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055392",
            "telephone_number": "337-312-8617",
            "fax_number": "337-721-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARTHRITIS CENTER OF SOUTHWEST LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-540-1699",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "24079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1485055",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.