Louisiana Internal Medicine Associates, LLC
Organization Active NPI Urgent Care Clinic/Center · Geismar, LA
NPI 1679959282 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1679959282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- LOUISIANA INTERNAL MEDICINE ASSOCIATES, LLC
- Practice address
- 13201 Hwy 73
Suite 102
Geismar, LA 70734 - Phone
- (225) 673-2088
- Fax
- (225) 673-2080
- NPI assigned
- Aug 5, 2015
- Organization subpart
- No
Authorized official
- Name
- Kendall Johnson
- Title
- Cfo
- Phone
- (225) 237-1645
Other NPIs on the same Medicare enrollment 1
Practitioners 4
-
Brandi Boudreaux Payne, FNP-C
-
Terri L. Ross, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171226000250 | LA | Part B Supplier - Clinic/Group Practice | 7719245695 |
Receives reassigned benefits from 23 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baton Rouge, LA |
National Provider Directory
Locations
4410 Highland Rd
#3
Baton Rouge, LA 70808
4410 Highland Rd
Ste A3
Baton Rouge, LA 70808
Phone (225) 237-4111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
13201 Hwy 73
Suite 102
Geismar, LA 70734
Mailing address
13201 Hwy 73
Suite 102
Geismar, LA 70734
Phone (225) 673-2088
Other providers in Geismar, LA
- Allysia McKenzie James
- Lara-Jeanne Kling
- Christie Klingman
- Leo Paul Leblanc III
- Tina Leslie-Watson
- Tammi E Marshall
- Elizabeth Nance Melancon
- Mending Minds Behavioral Health, LLC
- Hisham Nazir Mohamed
- Kent McKowen Morris
All providers in Geismar, LA · Urgent Care Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. 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.