Organization Active NPI

Prevention Plus Clinic, LLC

  • Internal Medicine Physician
  • Morgan City, LA
National Provider Identifier
1790106045
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREVENTION PLUS CLINIC, LLC
Practice address
1201 Kenneth St
Morgan City, LA 70380-1353
Phone
(985) 221-5321
Fax
(888) 619-0070
NPI assigned
Jan 3, 2014
Last updated
Nov 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Tricia L McAllister
Title
Practice Manager
Phone
(985) 221-5321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1201 Kenneth St
Morgan City, LA 70380-1353

Mailing address

1201 Kenneth St
Morgan City, LA 70380-1353
Phone (985) 221-5321

Other identifiers 1

IdentifierTypeStateIssuer
2406981MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140530000283 LA Part B Supplier - Clinic/Group Practice 6406079920 Receives reassigned benefits from 8 practitioners
Practice locations: Morgan City, LA

National Provider Directory

National Provider Directory

Locations

912 Marguerite St
Morgan City, LA 70380
Phone (985) 221-5321

3517 Highway 70 S
Pierre Part, LA 70339
Phone (985) 221-5321

905 Canal Blvd
Thibodaux, LA 70301
Phone (985) 447-7670

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1790106045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 KENNETH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801353",
            "telephone_number": "985-221-5321",
            "fax_number": "888-619-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 KENNETH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801353",
            "telephone_number": "985-221-5321",
            "fax_number": "888-619-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION PLUS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "985-221-5321"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2406981",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.