Individual provider Active NPI

Amanda W Pearson, MD

  • Obstetrics & Gynecology Physician
  • Baton Rouge, LA
National Provider Identifier
1922049071
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
202076 Issued in LA
Practice address
500 Rue de la Vie St
Suite 100
Baton Rouge, LA 70817-5126
Phone
(225) 201-2000
Fax
(225) 201-2110
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 202076 LA Primary

Addresses

Primary practice location

500 Rue de la Vie St
Suite 100
Baton Rouge, LA 70817-5126

Mailing address

500 Rue de la Vie St
Suite 100
Baton Rouge, LA 70817-5126
Phone (225) 201-2000

Other identifiers 8

IdentifierTypeStateIssuer
1187798MedicaidLA
512G700003OtherMSUP MEDICARE GROUP PROV#
08103071OtherMSUP MEDICAID GROUP PROV#
P00860587OtherLARAILROAD MEDICARE
03851721MedicaidMS
512I160001OtherMSMEDICARE PTAN
P00462300OtherMSUP RR MEDICARE INDV.
DG7781OtherMSUP GROUP RR MCARE

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
I20080627000480 LA Practitioner - Obstetrics/Gynecology 1557364460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Women's Healthcare Associates LLCGroup PAC ID 4587629365, 37 clinicians

Practice addresses (Care Compare)

500 Rue de la Vie St
Baton Rouge, LA 70817-5127
Phone (225) 201-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202076LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Women's Healthcare Associates LLC. Obstetrics & Gynecology CurrentSince Jun 30, 2008 Accepting new patients
Woman's Hospital Foundation Past Accepting new patients

Locations

500 Rue de la Vie St
Ste 100
Baton Rouge, LA 70817
Phone (225) 201-2000

9000 Airline Hwy
#500
Baton Rouge, LA 70815
Phone (225) 201-2000

Organizations & group practices 2

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 1

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1922049071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST",
            "address_2": "SUITE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175126",
            "telephone_number": "225-201-2000",
            "fax_number": "225-201-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST",
            "address_2": "SUITE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175126",
            "telephone_number": "225-201-2000",
            "fax_number": "225-201-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "AMANDA",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "202076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1187798",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UP MEDICARE GROUP PROV#",
            "identifier": "512G700003",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UP MEDICAID GROUP PROV#",
            "identifier": "08103071",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00860587",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03851721",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "512I160001",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UP RR MEDICARE INDV.",
            "identifier": "P00462300",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UP GROUP RR MCARE",
            "identifier": "DG7781",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.