Organization Active NPI

Louisiana Internal Medicine Associates, LLC

  • Urgent Care Clinic/Center
  • Geismar, LA
National Provider Identifier
1679959282
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 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
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Kendall Johnson
Title
Cfo
Phone
(225) 237-1645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4410 Highland Rd
#3
Baton Rouge, LA 70808

13201 Highway 73
Ste 102
Geismar, LA 70734
Phone (225) 673-2088

Practitioners & affiliated clinicians

Practitioners 4

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": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1679959282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 HWY 73",
            "address_2": "SUITE 102",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "70734",
            "telephone_number": "225-673-2088",
            "fax_number": "225-673-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 HWY 73",
            "address_2": "SUITE 102",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "70734",
            "telephone_number": "225-673-2088",
            "fax_number": "225-673-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA INTERNAL MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-237-1645"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geismar, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.