Active NPI
Flood Family Medical Center, LLC
- Family Medicine Physician
- Prairieville, LA
National Provider Identifier
1699139147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 204208
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100299 | Medicaid | LA |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.