Michael Proctor

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

204759 Issued in LA

Practice address

4864 Jackson St
Monroe, LA 71202-6400

Phone

(318) 333-0703

Fax

(318) 330-7648

NPI assigned

May 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, AL2 enrollments

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 2

Specialty

Emergency Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richland Parish Hospital Service District No 1-B 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Richardson Medical Center Hospital, Rayville, LA, CCN 190151
• Morehouse General Hospital Hospital, Bastrop, LA, CCN 190116

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Richland Parish Hospital Service District No 1-B

  • General Acute Care Hospital
  • Rayville, LA
  • NPI 1255370144

  LA

  Medicare reassignment Care Compare group NPD
• Brfhh Monroe LLC

  • Internal Medicine Physician
  • Monroe, LA
  • NPI 1811324882

  Family Medicine, LA

  Medicare reassignment NPD
• Ed Physicians of West Louisiana, LLC

  • Emergency Medicine Physician
  • West Monroe, LA
  • NPI 1255460143

  LA

  Medicare reassignment NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974

  LA

  Medicare reassignment NPD
• Ess of Ferriday, LLC

  • Emergency Medicine Physician
  • Ferriday, LA
  • NPI 1346900560

  LA

  Medicare reassignment NPD
• Hospital Service District No. 1 of Caldwell Parish

  • General Acute Care Hospital
  • Columbia, LA
  • NPI 1306865761

  LA

  Medicare reassignment NPD
• Opelousas Emergency Group LLC

  • Emergency Medicine Physician
  • Opelousas, LA
  • NPI 1477522704

  LA

  Medicare reassignment NPD
• Union General Hospital

  • Critical Access Hospital
  • Farmerville, LA
  • NPI 1881678704

  LA

  Medicare reassignment NPD
• Baldwin Emergency Physicians, P.C..

  • Emergency Medicine Physician
  • Fairhope, AL
  • NPI 1154378271

  AL

  Medicare reassignment NPD
• Mobile Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Mobile, AL
  • NPI 1881934982

  AL

  Medicare reassignment NPD
• Richland Parish Hospital Service District No 1-B

  • Rural Health Clinic/Center
  • Rayville, LA
  • NPI 1043368392
  Care Compare group
• Richland Parish Hospital Service District No 1-B

  • Rural Health Clinic/Center
  • Rayville, LA
  • NPI 1538595749
  Care Compare group

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

• Morehouse General Hospital

  • General Acute Care Hospital
  • Bastrop, LA
  • NPI 1003898313

  Hospital

  Care Compare affiliation
• Richland Parish Hospital Service District No 1-B

  • General Acute Care Hospital
  • Rayville, LA
  • NPI 1255370144

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1710144902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 ROSEDOWN DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013084",
            "telephone_number": "318-355-8874",
            "fax_number": "318-330-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026400",
            "telephone_number": "318-333-0703",
            "fax_number": "318-330-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "204759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063223",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lashunta Pringle, MB
• Melodynee Pringle, MB
• Brittany Pritchard
• Diane M Privitor Davis, FNP-C, PMHNPBC
• Gwendolyn Holdiness Proctor, MD
• Professional Care Pharmacy, LLC
• Progressive Healthcare
• Prohealth Monroe, LLC
• Prosper Therapy and Feeding Solutions
• Protective Factors, LLC

• All providers in Monroe, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.