Douglas Mehaffie, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

024334 Issued in LA

Practice address

148 Wall Blvd
Gretna, LA 70056-7107

Phone

(504) 393-2775

Fax

(504) 393-2744

NPI assigned

Jun 1, 2005

Last updated

Apr 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Louisiana State University School of Medicine in Shreveport, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Douglas Mehaffie MD LLCGroup PAC ID 7012048697, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dr Douglas Mehaffie MD LLC

  dba The Urgent Care

  • Urgent Care Clinic/Center
  • Gretna, LA
  • NPI 1669409199

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• The Urgent Care

  • Family Medicine Physician
  • Gretna, LA
  • NPI 1669849642
  Authorized official Same address or phone
• East Jefferson After Hours, LLC

  • Urgent Care Clinic/Center
  • Kenner, LA
  • NPI 1932152626
  NPD (past)
• The Hospitalist Practice

  • Internal Medicine Physician
  • Gretna, LA
  • NPI 1821034620

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1851393078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6039",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701746039",
            "telephone_number": "504-393-2775",
            "fax_number": "504-393-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WALL BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567107",
            "telephone_number": "504-393-2775",
            "fax_number": "504-393-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHAFFIE",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "024334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1545929",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Gretna, LA
• Providers in Gretna, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.