NPIMap

Individual provider Active NPI

James Roger Waddill, M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1720013816
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17202 Issued in LA
Practice address
3401 North Blvd
Baton Rouge, LA 70806-3743
Phone
(225) 336-3100
Fax
(225) 336-3111
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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 17202 LA Primary

Addresses

Primary practice location

3401 North Blvd
Baton Rouge, LA 70806-3743

Mailing address

9001 Summa Ave
Baton Rouge, LA 70809-3726
Phone (225) 761-5200

Other identifiers 1

IdentifierTypeStateIssuer
1356476MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080430000360 LA Practitioner - Family Practice 1456430636 Reassigns benefits to 1 organization
I20120413000338 MS Practitioner - Family Practice 1456430636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge General Medical CenterGroup PAC ID 4082600077, 58 clinicians

Practice addresses (Care Compare)

3401 N Blvd
Baton Rouge, LA 70806-3743
Phone (225) 381-6620

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17202LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King'S Daughters Medical Center CurrentSince May 29, 2020 Accepting new patients
Kings Daughters Medical Center Current Accepting new patients
King'S Daughters Medical Center CurrentSince May 29, 2020 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Dec 1, 2015 Accepting new patients
Baton Rouge General Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Dec 1, 2015 Accepting new patients
Baton Rouge General Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Hospital Medicine Group Inc Family Medicine Past Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

9001 Summa Ave
Baton Rouge, LA 70809

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

3401 North Blvd
Baton Rouge, LA 70806
Phone (225) 381-2755

3401 North Blvd
Ste 200
Baton Rouge, LA 70806
Phone (225) 336-3100

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

Organizations & group practices 10

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 6

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1720013816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 SUMMA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093726",
            "telephone_number": "225-761-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063743",
            "telephone_number": "225-336-3100",
            "fax_number": "225-336-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDILL",
        "first_name": "JAMES",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "17202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356476",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.