Individual provider Active NPI

Susan Ann Blanchard, M.D.

  • Family Medicine Physician
  • Jeanerette, LA
National Provider Identifier
1740212737
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16435 Issued in AL
Practice address
3231 Chitimacha Trail
PO Box 640
Jeanerette, LA 70544
Phone
(337) 923-9955
Fax
(337) 923-7791
NPI assigned
Jul 7, 2006
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16435 AL Primary
Family Medicine Physician 207Q00000X 18897 MS

Addresses

Primary practice location

3231 Chitimacha Trail
PO Box 640
Jeanerette, LA 70544

Mailing address

206 Highway 304
Calera, AL 35040-5540
Phone (205) 668-0626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181212001113 TX Practitioner - Family Practice 7214954403 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16435ALMDFamily Medicine Physician
18897MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Diagnostic and Medical Clinic LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: susan.blanchard.1@15501.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1740212737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HIGHWAY 304",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350405540",
            "telephone_number": "205-668-0626",
            "fax_number": "205-668-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 CHITIMACHA TRAIL",
            "address_2": "PO BOX 640",
            "city": "JEANERETTE",
            "state": "LA",
            "postal_code": "70544",
            "telephone_number": "337-923-9955",
            "fax_number": "337-923-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "16435",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeanerette, LA

Sources for this page

Verify at the official NPI Registry.