Kerri Davis-Fontenot, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

306331 Issued in LA

Practice address

2000 Tybee LN
Lake Charles, LA 70605

Phone

(337) 433-7272

Fax

(337) 433-0730

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Louisiana State University School of Medicine in Shreveport, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013

Merit-based Incentive Payment System (MIPS)

Final score

79.18 of 100Reported as individual

Quality

58.36

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kerrif@thegalleryderm.emadirect.md

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.

• The Gallery of Dermatology and Advanced Aesthetics

  • Dermatology Physician
  • Lake Charles, LA
  • NPI 1205408630
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Calcasieu Cameron Hospital Service District

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1083992382
  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1093719932
  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Multi-Specialty Clinic/Center
  • Sulphur, LA
  • NPI 1215560974

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Otolaryngology/Facial Plastic Surgery Physician
  • Sulphur, LA
  • NPI 1366700387

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Obstetrics & Gynecology Physician
  • Sulphur, LA
  • NPI 1619221348

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Clinic/Center
  • Sulphur, LA
  • NPI 1801133913

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Urology Physician
  • Sulphur, LA
  • NPI 1942552310

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1932528080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TYBEE LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054171",
            "telephone_number": "337-433-7272",
            "fax_number": "337-433-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TYBEE LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-433-7272",
            "fax_number": "337-433-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-FONTENOT",
        "first_name": "KERRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "306331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Vieth DDS, a Professional Corporation
• David S Chang LLC
• Jody M. Davidson, L.C.S.W.
• Juanita Joy Davidson, PHARM D
• Paige Davidson, CCC-SLP
• Carolyn Ann Davis, LPC, NCC, CCDP-D
• China Lynel Davis, PHARM.D
• Gladys Davis
• Ona-Lee Gail Davis
• Amber Dawson, MD

• Dermatology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.