Individual provider Active NPI

Jodie Gwin, MD

  • Obstetrics & Gynecology Physician
  • New Iberia, LA
National Provider Identifier
1760625230
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
206056 Issued in LA
Practice address
6 Oak PL
New Iberia, LA 70563-3087
Phone
(337) 256-8779
Fax
(337) 359-4997
NPI assigned
Apr 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 206056 LA Primary

Addresses

Primary practice location

6 Oak PL
New Iberia, LA 70563-3087

Mailing address

2309 E Main St
200
New Iberia, LA 70560-4046
Phone (337) 256-8779

Other identifiers 1

IdentifierTypeStateIssuer
1518697MedicaidLA

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130724000817 LA Practitioner - Obstetrics/Gynecology 3577704105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCMS Obstetrics and Gynecology LLCGroup PAC ID 9537353123, 8 clinicians

Practice addresses (Care Compare)

1890 W Gauthier Rd
135 Obstetrics and Gynecology of Soutwe
Lake Charles, LA 70605-7179
Phone (337) 480-5510

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206056LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of Iberia Parish Current Accepting new patients
LCMS Obstetrics and Gynecology LLC Obstetrics & Gynecology CurrentSince Jul 14, 2025 Accepting new patients
LCMS Rehabilitation Institute of Southwest Louisiana CurrentSince Jul 14, 2025 Accepting new patients
Iberia Medical Center Physician Practice Network CurrentSince Oct 1, 2016 Accepting new patients
Hospital Service District No. 1 of Iberia Parish Past Accepting new patients
Southwest Louisiana Hospital Association Inc Past Accepting new patients

Locations

1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687

2900 2nd Ave
Lake Charles, LA 70601
Phone (337) 480-8175

1890 W Gauthier Rd
Ste 135
Lake Charles, LA 70605
Phone (337) 480-5510

2313 E Main St
Ste C
New Iberia, LA 70560
Phone (337) 364-1734

2309 E Main St
Ste 200
New Iberia, LA 70560
Phone (337) 256-8779

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

Interoperability endpoints

  • Direct secure messaging: jgwin5339318@direct.casso.us.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/ibermed-05842f36

Organizations & group practices 6

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 3

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": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1760625230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST",
            "address_2": "200",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604046",
            "telephone_number": "337-256-8779",
            "fax_number": "337-359-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OAK PL",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705633087",
            "telephone_number": "337-256-8779",
            "fax_number": "337-359-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWIN",
        "first_name": "JODIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "206056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518697",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.