Organization Active NPI

Flood Family Medical Center, LLC

  • Family Medicine Physician
  • Prairieville, LA
National Provider Identifier
1699139147
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204208 Issued in LA
Legal business name
FLOOD FAMILY MEDICAL CENTER, LLC
Practice address
16282 N Galvez Ave
Prairieville, LA 70769-5980
Phone
(225) 803-0898
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Jarrett Flood, M.D.
Title
Ceo
Phone
(225) 803-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 204208 LA Primary

Addresses

Primary practice location

16282 N Galvez Ave
Prairieville, LA 70769-5980

Mailing address

16282 N Galvez Ave
Prairieville, LA 70769-5980

Other identifiers 1

IdentifierTypeStateIssuer
100299MedicaidLA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13677/brand/1/csg/1/fhir/r4

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": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1699139147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16282 N GALVEZ AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16282 N GALVEZ AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695980",
            "telephone_number": "225-803-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOOD FAMILY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "FLOOD",
        "authorized_official_first_name": "JARRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-803-0898",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "204208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100299",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.