NPIMap

Organization Active NPI

Charlie Internal Medicine Group Incorporated

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1649837519
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHARLIE INTERNAL MEDICINE GROUP INCORPORATED
Practice address
155 Hospital Dr Ste 205
Lafayette, LA 70503-2852
Phone
(601) 549-1735
NPI assigned
May 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Dr. Emily Reed Charlie, DO
Title
President
Phone
(601) 549-1735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

155 Hospital Dr Ste 205
Lafayette, LA 70503-2852

Mailing address

716 Gendarme Rd
Carencro, LA 70520-5105
Phone (601) 549-1735

National Provider Directory

National Provider Directory

Locations

155 Hospital Dr
Ste 205
Lafayette, LA 70503
Phone (337) 484-1091

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1649837519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 GENDARME RD",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205105",
            "telephone_number": "601-549-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "601-549-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE INTERNAL MEDICINE GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "CHARLIE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-549-1735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.