Active NPI
Carl Henry Hines, M.D.
- Family Medicine Physician
- Minden, LA
National Provider Identifier
1740258102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LA015051
- 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.
-
- Multi-Specialty Clinic/Center
- Minden, LA
- NPI 1497986764
-
- Rural Health Clinic/Center
- Haughton, LA
- NPI 1699392589
-
- Rural Health Clinic/Center
- Minden, LA
- NPI 1720360795
-
- Rural Health Clinic/Center
- Minden, LA
- NPI 1699834473
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Minden, LA
- NPI 1891873337
Care Compare affiliation Hospital
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, LLCMinden Physician Practices LLC
Practice addresses (Care Compare)
1111 Homer Rd
Minden, LA 71055-3027
Hospital & facility affiliations
- Minden Medical Center
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LA015051 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minden Physician Practices LLC | Family Medicine | Current | Accepting new patients |
| Minden Physician Practices LLC | Family Medicine | Current | 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
- carl.hines.1@3681.direct.athenahealth.com
- mincahine@yourcarecommunity.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LA015051 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1199141 | Medicaid | LA |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.