Apex Medical Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

APEX MEDICAL CLINIC

Practice address

1615 Johnson St Ste B
Jennings, LA 70546-3650

Phone

(337) 329-2477

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jon Harvey Gray III, MDNPI 1356322077

Title

Partner

Phone

(504) 296-7959

Specialties & licenses 1

Addresses

Other names 1

• Apex Immediate Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Jon Harvey Gray, M.D.

  • General Practice Physician
  • Lake Charles, LA
  • NPI 1356322077

  LA

  Medicare reassignment NPD Authorized official
• Matthew Paul Vincent, APRN-BC

  • Family Nurse Practitioner
  • Jennings, LA
  • NPI 1467730531

  Family, LA

  Medicare reassignment Care Compare group NPD
• Jonathan S Yellott, FNP

  • Family Nurse Practitioner
  • Lake Charles, LA
  • NPI 1588163471

  Family, LA

  Medicare reassignment Care Compare group NPD
• Thea Christine Fontenot, PA-C

  • Medical Physician Assistant
  • Lake Charles, LA
  • NPI 1609474428

  LA

  Medicare reassignment

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1962235374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 JOHNSON ST STE B",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463650",
            "telephone_number": "337-329-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 JOHNSON ST STE B",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463650",
            "telephone_number": "337-329-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "504-296-7959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Immediate Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Jennings, LA
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.