Organization Active NPI

Pinecrest Surgery LLC

  • Surgery Physician
  • Hammond, LA
National Provider Identifier
1952264673
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PINECREST SURGERY LLC
Practice address
515 Pinecrest Dr
Hammond, LA 70401
Phone
(985) 320-2474
NPI assigned
Dec 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Mr. Fred Jefferson Liner Jr., MD
Title
Owner/Manager
Phone
(985) 320-2474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

515 Pinecrest Dr
Hammond, LA 70401

Mailing address

515 Pinecrest Dr
Hammond, LA 70401
Phone (985) 320-2474

Other names 1

  • Fred Jefferson Liner Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260427003460 LA Part B Supplier - Clinic/Group Practice 6507333572 Practice locations: Independence, LA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1952264673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PINECREST DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70401",
            "telephone_number": "985-320-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PINECREST DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70401",
            "telephone_number": "985-320-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "LINER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "985-320-2474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred Jefferson Liner Jr.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.