Organization Active NPI

SSM Group Practice LLC

  • Sleep Medicine (Family Medicine) Physician
  • Metairie, LA
National Provider Identifier
1659839561
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
Legal business name
SSM GROUP PRACTICE LLC
Practice address
2612 Severn Ave
Metairie, LA 70002-5935
Phone
(504) 491-4987
NPI assigned
Mar 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Thomas Lavin
Title
Owner
Phone
(504) 491-4987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS1201X Primary

Addresses

Primary practice location

2612 Severn Ave
Metairie, LA 70002-5935

Mailing address

2612 Severn Ave
Metairie, LA 70002-5935
Phone (504) 491-4987

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1552176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1659839561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 SEVERN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025935",
            "telephone_number": "504-491-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 SEVERN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025935",
            "telephone_number": "504-491-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM GROUP PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-10",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-491-4987"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.