Individual provider Active NPI

Dennis A Laravia, M.D.

  • Family Medicine Physician
  • Vidalia, LA
National Provider Identifier
1730157249
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12072 Issued in LA
Practice address
900 Carter Street
Vidalia, LA 71373
Phone
(318) 336-4780
Fax
(318) 336-4783
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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 12072 LA Primary

Addresses

Primary practice location

900 Carter Street
Vidalia, LA 71373

Mailing address

900 Carter Street
Vidalia, LA 71373
Phone (318) 336-4780

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
I20050808000118 LA Practitioner - Emergency MedicinePractitioner - Family Practice 7315976693 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group PLLC 189 clinicians

Practice addresses (Care Compare)

2001 Doctors Dr
Springhill, LA 71075-4526
Phone (318) 539-1000

Hospital & facility affiliations

  • Jackson Parish Hospital Hospital, Jonesboro, LA, CCN 191317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39786TXMDGeneral Practice Dentistry
12072LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Physicians PLLC CurrentSince Jan 7, 2026 Accepting new patients
Jena Ess Hospitalist LLC CurrentSince Aug 1, 2023 Accepting new patients
Rapid Urgent Care, Inc. Current Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince May 3, 2025 Accepting new patients
Jena Ess LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Jan 26, 2017 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 3, 2025 Accepting new patients
Rapid Urgent Care, Inc CurrentSince Jan 26, 2017 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Aug 18, 2010 Accepting new patients
Texas a&M University System Health Science Center Family Medicine Past Accepting new patients
Family Practice Foundation of the Brazos Valley Family Medicine Past Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

1700 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 281-2448

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

Organizations & group practices 11

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 1

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1730157249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CARTER STREET",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "71373",
            "telephone_number": "318-336-4780",
            "fax_number": "318-336-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CARTER STREET",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "71373",
            "telephone_number": "318-336-4780",
            "fax_number": "318-336-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARAVIA",
        "first_name": "DENNIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "12072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, LA

Sources for this page

Verify at the official NPI Registry.