Individual provider Active NPI

Mark L. James, M.D.

  • Family Medicine Physician
  • Folsom, LA
National Provider Identifier
1821019282
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16216 Issued in LA
Practice address
82525 Highway 25
Folsom, LA 70437-6111
Phone
(985) 839-9895
Fax
(985) 839-9884
NPI assigned
Jul 21, 2006
Last updated
Feb 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 016216 LA
Family Medicine Physician 207Q00000X 16216 LA Primary

Addresses

Primary practice location

82525 Highway 25
Folsom, LA 70437-6111

Mailing address

PO Box 54482
New Orleans, LA 70154-4482
Phone (985) 839-9895

Other identifiers 1

IdentifierTypeStateIssuer
1337862MedicaidLA

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
I20040406000890 LA Practitioner - Family Practice 3577556513 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016216LAMDFamily Medicine Physician
16216LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince Jan 19, 2004 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Family Medicine CurrentSince Jan 19, 2004 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Oct 30, 2015 Accepting new patients
Riverside Medical Center Past Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

82525 Highway 25
Folsom, LA 70437
Phone (985) 839-9895

711 Riverside Dr
Franklinton, LA 70438
Phone (985) 795-4294

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1821019282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54482",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544482",
            "telephone_number": "985-839-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82525 HIGHWAY 25",
            "city": "FOLSOM",
            "state": "LA",
            "postal_code": "704376111",
            "telephone_number": "985-839-9895",
            "fax_number": "985-839-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MARK",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "016216",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "16216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1337862",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, LA

Sources for this page

Verify at the official NPI Registry.