Individual provider Active NPI

Carl Henry Hines, M.D.

  • Family Medicine Physician
  • Minden, LA
National Provider Identifier
1740258102
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LA015051 Issued in LA
Practice address
1114 Homer Rd
Minden, LA 71055-3028
Phone
(318) 371-1395
Fax
(318) 377-5932
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Associates of Minden, LLC 12 clinicians
Minden Physician Practices LLC 48 clinicians

Practice addresses (Care Compare)

1111 Homer Rd
Minden, LA 71055-3027

Hospital & facility affiliations

  • Minden Medical Center Hospital, Minden, LA, CCN 190144

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100916000290 LA Practitioner - Family Practice 4981694940 Reassigns benefits to 1 organization
Practice locations: Minden, LA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LA015051LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minden Physician Practices LLC Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Minden Physician Practices LLC Family Medicine CurrentSince Aug 1, 2020 Accepting new patients

Locations

170 Healthcare Plaza Dr
Haughton, LA 71037
Phone (318) 382-7299

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

Interoperability endpoints

  • Direct secure messaging: carl.hines.1@3681.direct.athenahealth.com
  • Direct secure messaging: mincahine@yourcarecommunity.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LA015051 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

1114 Homer Rd
Minden, LA 71055-3028

Mailing address

1114 Homer Rd
Minden, LA 71055-3028
Phone (318) 371-1395

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1199141MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2011.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1740258102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553028",
            "telephone_number": "318-371-1395",
            "fax_number": "318-377-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553028",
            "telephone_number": "318-371-1395",
            "fax_number": "318-377-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "CARL",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "LA015051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1199141",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

Verify at the official NPI Registry.