Individual provider Active NPI

Coy W. Gammage Jr., M. D.

  • Hematology & Oncology Physician
  • Monroe, LA
National Provider Identifier
1871590711
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
021331 Issued in LA
Practice address
411 Calypso St Ste 200a
Monroe, LA 71201-7551
Phone
(318) 966-1970
Fax
(318) 966-1971
NPI assigned
Jul 7, 2005
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 021331 LA
Hematology & Oncology Physician 207RH0003X 021331 LA Primary

Addresses

Primary practice location

411 Calypso St Ste 200a
Monroe, LA 71201-7551

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (318) 966-1970

Other identifiers 2

IdentifierTypeStateIssuer
1976652MedicaidLA
830005032OtherLARRMC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cgammage16348@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20040505000323 LA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3173511474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Louisiana State University School of Medicine in Shreveport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians

Practice addresses (Care Compare)

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

517 Catalpa St
Monroe, LA 71201-7426
Phone (318) 966-6500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021331LAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Medical Group LLC CurrentSince Oct 3, 2022 Accepting new patients
Benjamin B Weinberger Apmc Hematology & Oncology Current Accepting new patients
Scott M Barron Apmc Hematology & Oncology Current Accepting new patients
St Francis Medical Center, Inc CurrentSince Oct 10, 2022 Accepting new patients
St. Francis Medical Center, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Coy W Gammage Jr Apmc Hematology & Oncology CurrentSince Aug 24, 2009 Accepting new patients
Marshall L Leary Jr Apmc Hematology & Oncology Current Accepting new patients
The Arthritis and Diabetes Clinic Inc Specialist PastSince Jun 1, 2018 Accepting new patients
The Arthritis Clinic Inc Past Accepting new patients
Oncology Associates of Monroe Specialist Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

1162 Oliver Rd
Ste 7
Monroe, LA 71201
Phone (318) 325-7007

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

411 Calypso St
Ste 200
Monroe, LA 71201
Phone (318) 325-7007

411 Calypso St
Ste 200A
Monroe, LA 71201
Phone (318) 966-1970

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

Interoperability endpoints

  • Direct secure messaging: cgammage16348@direct.casso.us.com

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1871590711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "318-966-1970",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CALYPSO ST STE 200A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017551",
            "telephone_number": "318-966-1970",
            "fax_number": "318-966-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMAGE",
        "first_name": "COY",
        "middle_name": "W.",
        "name_suffix": "Jr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "021331",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "021331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1976652",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "830005032",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgammage16348@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cgammage16348@direct.casso.us.com",
            "address_1": "411 Calypso St Ste 200A",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "411 Calypso St Ste 200A",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.