NPIMap

Individual provider Active NPI

Jeffrey John Combetta, M.D.

  • Family Medicine Physician
  • Winnsboro, LA
National Provider Identifier
1740310754
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
203014 Issued in LA
Practice address
2104 Loop Rd
Suite C
Winnsboro, LA 71295-3338
Phone
(318) 435-4571
Fax
(318) 435-7458
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 203014 LA Primary

Addresses

Primary practice location

2104 Loop Rd
Suite C
Winnsboro, LA 71295-3338

Mailing address

2104 Loop Rd
Suite C
Winnsboro, LA 71295-3338
Phone (318) 435-4571

Other practice location 1

206 Boots Road
206 Boots Road
Farmerville, LA 71241-7124
Phone (318) 620-0467

Other practice location 2

125 Saint Charles Avenue
Monroe, LA 71203-8920
Phone (318) 435-4571

Other identifiers 3

IdentifierTypeStateIssuer
1501174MedicaidLA
12125071OtherCAQH
MD.203014OtherLALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090815000018 LA Practitioner - Emergency MedicinePractitioner - Family Practice 7618021361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Medical Solutions Inc 3 clinicians
Franklin Parish Hospital Service Dist 1 80 clinicians

Practice addresses (Care Compare)

206 Boots Dr
Farmerville, LA 71241-3102
Phone (318) 620-0467

2106 Loop Rd
Winnsboro, LA 71295-1300

2106 Loop Rd
Winnsboro, LA 71295-3344
Phone (318) 412-5265

PO Box
Suite 1300
Winnsboro, LA 71295

Hospital & facility affiliations

  • Home Care TLC Home health agency, Winnsboro, LA, CCN 197113
  • Elara Caring Home health agency, Winnsboro, LA, CCN 197252
  • Hospice T L C, Inc Hospice, Winnsboro, LA, CCN 191617
  • Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140
  • Riverbend Rehabilitation Hospital Inpatient rehabilitation facility, Monroe, LA, CCN 193058
  • Plantation Manor Nursing and Rehab Center, LLC Nursing home, Winnsboro, LA, CCN 195257
  • Plantation Oaks Nursing & Rehabilitation Center Nursing home, Wisner, LA, CCN 195504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203014LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Medical Solutions Inc CurrentSince Oct 26, 2017 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Jul 1, 2009 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Jul 1, 2009 Accepting new patients
Bastrop Rehabilitation Hospital, LLC Past Accepting new patients
Plantation Oaks Nursing & Rehabilitation Center LLC Past Accepting new patients
Franklin Parish Hospital Service Dist 1 Past Accepting new patients
Plantation Manor Nursing & Rehabilitation Center, LLC Past Accepting new patients

Locations

206 Boots Dr
Farmerville, LA 71241
Phone (318) 498-2916

104 Verona St
Newellton, LA 71357
Phone (318) 467-2349

448 Newton St
Saint Joseph, LA 71366
Phone (318) 412-5265

5745 Highway 17
Winnsboro, LA 71295
Phone (318) 722-3333

2104 Loop Rd
Ste C
Winnsboro, LA 71295
Phone (318) 435-4571

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

Interoperability endpoints

  • Direct secure messaging: jeffrey.combetta.1@18470.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Plantation Oaks Nursing and Rehabilitation CenterWisner, LA, CCN 195504 Skilled nursing facility Adp of the SNF Mar 26, 2025
Plantation Manor Nursing & Rehabilitation CenterWinnsboro, LA, CCN 195257 Skilled nursing facility Adp of the SNF Mar 26, 2025
Insight Medical Solutions IncFarmerville, LA, CCN 193941 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%)
Corporate Director (100%)		 Oct 24, 2017
Aug 1, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 7

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1740310754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 LOOP RD",
            "address_2": "SUITE C",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953338",
            "telephone_number": "318-435-4571",
            "fax_number": "318-435-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 LOOP RD",
            "address_2": "SUITE C",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953338",
            "telephone_number": "318-435-4571",
            "fax_number": "318-435-7458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Boots Road",
            "address_2": "206 Boots Road",
            "address_purpose": "LOCATION",
            "city": "Farmerville",
            "state": "LA",
            "postal_code": "712417124",
            "country_code": "US",
            "telephone_number": "318-620-0467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Saint Charles Avenue",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712038920",
            "country_code": "US",
            "telephone_number": "318-435-4571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMBETTA",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "203014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1501174",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12125071",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD.203014",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

Verify at the official NPI Registry.