Active NPI
Susan Ann Blanchard, M.D.
- Family Medicine Physician
- Jeanerette, LA
National Provider Identifier
1740212737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16435
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16435 | AL | MD | Family Medicine Physician |
| 18897 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-Diagnostic and Medical Clinic LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Multi-Specialty Clinic/Center
- Saraland, AL
- NPI 1568235000
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
- Adore Personal Care Services LLC
- Sherry Alexander, LCSW
- Tichina Arnold, ND
- Beautiful Beginnings in Healthcare, LLC
- Blessed Kidz Therapeutic Group Home LLC
- Bourgeois Family Medicine Clinic a Professional Medical Corporation
- Leonard JB Bourgeois Sr., MD
- Jennifer Buck
- Cashway Pharmacy of Jeanerette, la. Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.