NPIMap

Organization Active NPI

Woman'S Clinic of Monroe, AMC

  • Obstetrics & Gynecology Physician
  • Monroe, LA
National Provider Identifier
1871544585
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMAN'S CLINIC OF MONROE, AMC
Practice address
312 Grammont St
Suite 300
Monroe, LA 71201-7457
Phone
(318) 388-4030
Fax
(318) 325-8437
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Rhonda McDonald
Title
Director of Insurance
Phone
(318) 388-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

312 Grammont St
Suite 300
Monroe, LA 71201-7457

Mailing address

312 Grammont St
Suite 300
Monroe, LA 71201-7457
Phone (318) 388-4030

Other practice location 1

417 McMillan Rd
West Monroe, LA 71291-5325
Phone (318) 322-7119

Other identifiers 1

IdentifierTypeStateIssuer
1107581MedicaidLA

Other names 1

  • Healthy Moms Prenatal Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060302000561 LA Part B Supplier - Clinic/Group Practice 1355357112 Receives reassigned benefits from 19 practitioners
Practice locations: Monroe, LA; West Monroe, LA; Ruston, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0464209Woman'S Clinic Monroe, the312 Grammont Suite 300, Monroe, LA 71201Certificate of waiverNov 28, 2027

National Provider Directory

National Provider Directory

Locations

3424 Medical Park Dr
Ste 1
Monroe, LA 71203
Phone (318) 361-9299

312 Grammont St
Monroe, LA 71201
Phone (318) 388-4040

312 Grammont St
Ste 300
Monroe, LA 71201
Phone (318) 388-4030

196 Parkway Cir
Ste 5
West Monroe, LA 71292

417 McMillan Rd
West Monroe, LA 71291
Phone (318) 322-7119

2600 N 7th St
Ste 504
West Monroe, LA 71291

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1871544585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 GRAMMONT ST",
            "address_2": "SUITE 300",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017457",
            "telephone_number": "318-388-4030",
            "fax_number": "318-998-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 GRAMMONT ST",
            "address_2": "SUITE 300",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017457",
            "telephone_number": "318-388-4030",
            "fax_number": "318-325-8437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 McMillan Rd",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712915325",
            "country_code": "US",
            "telephone_number": "318-322-7119",
            "fax_number": "318-325-8437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOMAN'S CLINIC OF MONROE, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE",
        "authorized_official_telephone_number": "318-388-4030"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1107581",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Moms Prenatal Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.