Individual provider Active NPI

James Arthur Altick Jr., M.D.

  • Dermatology Physician
  • Monroe, LA
National Provider Identifier
1922062322
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
021299 Issued in LA
Practice address
2804 Kilpatrick Blvd
Monroe, LA 71201-5139
Phone
(318) 387-2545
Fax
(318) 387-2775
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 021299 LA Primary

Addresses

Primary practice location

2804 Kilpatrick Blvd
Monroe, LA 71201-5139

Mailing address

2804 Kilpatrick Blvd
Monroe, LA 71201-5139
Phone (318) 387-2545

Other identifiers 1

IdentifierTypeStateIssuer
1657930MedicaidLA

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
I20111228000333 LA Practitioner - Dermatology 5395911168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in Shreveport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James a Altick Jr MD a Professional Medical CorporationGroup PAC ID 8628316445, 2 clinicians

Practice addresses (Care Compare)

2804 Kilpatrick Blvd
Monroe, LA 71201-5139
Phone (318) 387-2545

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021299LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James a. Altick ,Jr. M.D. a Professional Medical Corporation Dermatology CurrentSince Nov 1, 2018 Accepting new patients

Locations

2804 Kilpatrick Blvd
Monroe, LA 71201
Phone (318) 387-0545

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922062322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 KILPATRICK BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015139",
            "telephone_number": "318-387-2545",
            "fax_number": "318-387-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 KILPATRICK BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015139",
            "telephone_number": "318-387-2545",
            "fax_number": "318-387-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTICK",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "021299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1657930",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.