NPIMap

Affinity Health Group, LLC

Organization Active NPI Family Medicine Physician · Monroe, LA

NPI 1750667481 · NPPES record last updated May 28, 2020

Key facts

NPI
1750667481
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
AFFINITY HEALTH GROUP, LLC
Practice address
2408 Broadmoor Blvd Ste B
Monroe, LA 71201-2994
Phone
(318) 807-0525
Fax
(318) 807-1077
NPI assigned
Oct 26, 2011
Organization subpart
No

Authorized official

Name
Mr. Janet Justice
Title
Director of Operations
Phone
(318) 807-7875

Other NPIs on the same Medicare enrollment 31

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 31

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080411000088 LA Part B Supplier - Clinic/Group Practice 9335226547 Receives reassigned benefits from 165 practitioners
38 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroe, LA; West Monroe, LA; Baton Rouge, LA

National Provider Directory

Tax ID family
Affinity Health Group (27 organizations share this tax ID)

Locations

2408 Broadmoor Blvd
Ste B
Monroe, LA 71201
Phone (318) 807-0525

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193200000X MULTI-SPECIALTY GROUP		 133V00000X
Pharmacist
Group: 193200000X MULTI-SPECIALTY GROUP		 183500000X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X

Addresses

Primary practice location

2408 Broadmoor Blvd Ste B
Monroe, LA 71201-2994

Mailing address

130 Desiard St
Suite 355
Monroe, LA 71201-7319
Phone (318) 807-7875

Other names

  • Affinity Walk-In Clinic Doing business as

Other providers in Monroe, LA

All providers in Monroe, LA · Family Medicine Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.