Baton Rouge General Primary Care, LLC

Key facts

NPI: 1669760948
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
Legal business name: BATON ROUGE GENERAL PRIMARY CARE, LLC
Practice address: 8585 Picardy Ave
Suite 513
Baton Rouge, LA 70809-3679
Phone: (225) 819-1198
Fax: (225) 819-1189
NPI assigned: Jul 20, 2011
Organization subpart: Yes
Parent organization (as reported): BATON ROUGE GENERAL PRIMARY CARE, LLC

Authorized official

Name: Mr. Kendall Johnson
Title: C.F.O.
Phone: (225) 237-1645

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Baton Rouge General Primary Care, LLC Family Medicine Physician · Baton Rouge, LA · NPI 1114356979

NPPES parent name

Practitioners 3

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

David R Carver, MD Family Medicine Physician · Baton Rouge, LA · NPI 1235135948

Medicare reassignment Care Compare group NPD FAMILY MEDICINE · LA
Louis R. Minsky, M.D. Family Medicine Physician · Baton Rouge, LA · NPI 1760488332

Medicare reassignment Care Compare group NPD FAMILY MEDICINE · LA
Philip G Padgett, MD Family Medicine Physician · Port Allen, LA · NPI 1063516151

NPD FAMILY MEDICINE

Medicare participation

Medicare fee-for-service enrollment: Enrolled in LA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20111114000779	LA	Part B Supplier - Clinic/Group Practice	7810161684	Receives reassigned benefits from 2 practitioners Practice locations: Baton Rouge, LA

National Provider Directory

Part of: Baton Rouge General Primary

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207Q00000X			Yes

Addresses

Primary practice location

8585 Picardy Ave
Suite 513
Baton Rouge, LA 70809-3679

Mailing address

8490 Picardy Ave
BLDG 200
Baton Rouge, LA 70809-3731
Phone (225) 237-1754

Other identifiers

Identifier	Type	State	Issuer
5DV54	Other	LA	MEDICARE GROUP PTAN

Other names

Minsky and Carver Medical Center for Personal Wellness Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 8, 2015.

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1669760948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE",
            "address_2": "BLDG 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093731",
            "telephone_number": "225-237-1754",
            "fax_number": "225-237-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE",
            "address_2": "SUITE 513",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093679",
            "telephone_number": "225-819-1198",
            "fax_number": "225-819-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE GENERAL PRIMARY CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BATON ROUGE GENERAL PRIMARY CARE, LLC",
        "enumeration_date": "2011-07-20",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "225-237-1645",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "5DV54",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minsky and Carver Medical Center for Personal Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Family Medicine Physician in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.