Organization Active NPI

Baton Rouge General Primary Care, LLC

Doing business as Minsky and Carver Medical Center for Personal Wellness

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1669760948
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BATON ROUGE GENERAL PRIMARY CARE, LLC
Doing business as
Minsky and Carver Medical Center for Personal Wellness
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
Last updated
Dec 8, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BATON ROUGE GENERAL PRIMARY CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

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 names 1

  • Minsky and Carver Medical Center for Personal Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111114000779 LA Part B Supplier - Clinic/Group Practice 7810161684 Receives reassigned benefits from 2 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory
Part of
Baton Rouge General Primary Care LLC

Locations

8585 Picardy Ave
Ste 513
Baton Rouge, LA 70809
Phone (225) 819-1188

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": [],
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.