Active NPI
Dennis A Laravia, M.D.
- Family Medicine Physician
- Vidalia, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12072
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050808000118 | LA | Practitioner - Emergency Medicine | 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
Practice addresses (Care Compare)
2001 Doctors Dr
Springhill, LA 71075-4526
Phone (318) 539-1000
Hospital & facility affiliations
- Jackson Parish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39786 | TX | MD | General Practice Dentistry |
| 12072 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Physicians PLLC | Current | Accepting new patients | |
| Jena Ess Hospitalist LLC | Current | Accepting new patients | |
| Rapid Urgent Care, Inc. | Current | Accepting new patients | |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Jena Ess LLC | Emergency Medicine | Current | Accepting new patients |
| Rapid Urgent Care, Inc. | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Rapid Urgent Care, Inc | Current | Accepting new patients | |
| Correct Care, Inc. | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
Emergency Medicine, LA
-
- Urgent Care Clinic/Center
- Covington, LA
- NPI 1750776118
-
- Urgent Care Clinic/Center
- Albany, LA
- NPI 1467085530
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
Emergency Medicine
-
- Family Medicine Physician
- Bryan, TX
- NPI 1578573531
Family Medicine
-
- Family Medicine Physician
- Bryan, TX
- NPI 1063699312
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.