Individual provider Active NPI

Albert Glen Kerr, M.D.

  • Family Medicine Physician
  • Rayville, LA
National Provider Identifier
1700889672
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
019435 Issued in LA
Practice address
121 Christian Dr
Rayville, LA 71269-3658
Phone
(318) 728-0175
Fax
(318) 728-0173
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 019435 LA Primary

Addresses

Primary practice location

121 Christian Dr
Rayville, LA 71269-3658

Mailing address

PO Box 749
Rayville, LA 71269-0749
Phone (318) 728-0175

Other identifiers 1

IdentifierTypeStateIssuer
1377686MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061110000116 LA Practitioner - Family Practice 3072542547 Practice locations: Rayville, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

121 Christian Dr
Rayville, LA 71269-0749
Phone (318) 728-0175

P O Box
Suite 749
Rayville, LA 71269-0749

PO Box
Suite 749
Rayville, LA 71269-0749

Hospital & facility affiliations

  • Haven Home Health Inc Home health agency, Monroe, LA, CCN 197210
  • Richardson Medical Center Hospital, Rayville, LA, CCN 190151
  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19435LAMDSocial Worker
019435LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rayville Family Clinic Past Accepting new patients
Rayville Family Clinic LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1700889672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712690749",
            "telephone_number": "318-728-0175",
            "fax_number": "318-728-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CHRISTIAN DR",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693658",
            "telephone_number": "318-728-0175",
            "fax_number": "318-728-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "ALBERT",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "019435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1377686",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayville, LA

Sources for this page

Verify at the official NPI Registry.