Individual provider Active NPI

Stacy Denise Jones-Pedescleaux, M.D.

  • Family Medicine Physician
  • Prairieville, LA
National Provider Identifier
1962670570
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.202091 Issued in LA
Practice address
16220 Airline Hwy
Prairieville, LA 70769-4248
Phone
(225) 744-1111
Fax
(225) 744-4919
NPI assigned
Feb 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.202091 LA Primary

Addresses

Primary practice location

16220 Airline Hwy
Prairieville, LA 70769-4248

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

3401 North Blvd
Ste 130
Baton Rouge, LA 70806-3743
Phone (225) 381-2727

Other identifiers 1

IdentifierTypeStateIssuer
1091782MedicaidLA

Other names 1

  • Dr. Stacy Denise Jones Former name

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
I20091201000479 LA Practitioner - Family Practice 1355418500 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

17000 Medical Ctr Dr
Baton Rouge, LA 70816-3246
Phone (225) 761-5200

Hospital & facility affiliations

  • Ochsner Home Health of Baton Rouge Home health agency, Baton Rouge, LA, CCN 197192
  • Ochsner Medical Center - Baton Rouge Hospital, Baton Rouge, LA, CCN 190202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.202091LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stacy D Jones Medical Group LLC Family Medicine CurrentSince Dec 4, 2008 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 26, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 26, 2023 Accepting new patients
Baton Rouge General Physicians Medical Group, LLC CurrentSince Jan 1, 2014 Accepting new patients
Baton Rouge General Primary Care, LLC Family Medicine Current Accepting new patients
Opelousas Emergency Group LLC CurrentSince Nov 1, 2009 Accepting new patients
Baton Rouge General Physicians Medical Group, LLC Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Baton Rouge General Physicians Medical Group, LLC Family Medicine Past Accepting new patients

Locations

3401 North Blvd
Ste 300
Baton Rouge, LA 70806
Phone (225) 381-2727

5353 Florida Blvd
Baton Rouge, LA 70806
Phone (225) 367-4558

9001 Summa Ave
Ste 448
Baton Rouge, LA 70809

3905 Convention St
Baton Rouge, LA 70806
Phone (225) 387-7858

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

3401 North Blvd
Ste 130
Baton Rouge, LA 70806
Phone (225) 381-2789

10127 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 272-0106

8490 Picardy Ave
Ste 200
Baton Rouge, LA 70809
Phone (225) 237-1754

1514 Jefferson Hwy
New Orleans, LA 70121

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: sjonespedescleaux1864638@direct.ochsner.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1962670570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 AIRLINE HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694248",
            "telephone_number": "225-744-1111",
            "fax_number": "225-744-4919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 North Blvd",
            "address_2": "Ste 130",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708063743",
            "country_code": "US",
            "telephone_number": "225-381-2727",
            "fax_number": "225-381-2753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES-PEDESCLEAUX",
        "first_name": "STACY",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-16",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.202091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091782",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "JONES",
            "middle_name": "DENISE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prairieville, LA

Sources for this page

Verify at the official NPI Registry.