Aca Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ACA CLINIC

Practice address

23823 Eden St
Plaquemine, LA 70764-3315

Phone

(225) 284-7158

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Anderson Pruitt, DNP

Title

Nurse Practitioner

Phone

(225) 284-7158

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Antonio Dessell Edwards, M.D.

  • Family Medicine Physician
  • Plaquemine, LA
  • NPI 1568515419
  NPD (past)
• Luke P. Lee, M.D.

  • Family Medicine Physician
  • Plaquemine, LA
  • NPI 1396775813
  NPD (past)
• Christopher O Ogunro, M.D.

  • Internal Medicine Physician
  • Cypress, TX
  • NPI 1073562328
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1922591080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59185 POSTELL AVE",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707643462",
            "telephone_number": "225-284-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 EDEN ST",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707643315",
            "telephone_number": "225-284-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "225-284-7158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2384201",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 5Ive JS
• A & a Durable Medical Supply LLC
• A T Corporation
• Abundance of Life, LLC
• Access Health Louisiana
• Access Health Louisiana
• Access Health Louisiana
• Access Health Louisiana
• Accord Rehabilitation Part B Practice

• Health Service Clinic/Center in Plaquemine, LA
• Providers in Plaquemine, LA by specialty
• Health Service Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.