Family Medicine Specialists, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15521R Issued in LA

Legal business name

FAMILY MEDICINE SPECIALISTS, LLC

Practice address

6322 Highway 182 E Ste 200
Morgan City, LA 70380-2038

Phone

(985) 702-1220

Fax

(985) 702-9715

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Maryellon Allen, M.D.

Title

MD

Phone

(985) 702-1220

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

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

• Lauren Sullivan, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1902212301
  NPD
• Kristin Elizabeth Tauzin, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1093053522
  NPD
• Donna Boudreaux Wilson

  • Family Nurse Practitioner
  • Morgan City, LA
  • NPI 1982196432
  NPD

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1962675272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 HIGHWAY 182 E",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703802038",
            "telephone_number": "985-702-1220",
            "fax_number": "985-702-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 HIGHWAY 182 E STE 200",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703802038",
            "telephone_number": "985-702-1220",
            "fax_number": "985-702-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARYELLON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "985-702-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "15521R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1464368",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLU E CROSS BLUE SHIELD",
            "identifier": "5405870060",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC6205",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Megan Evans, CAC
• Ugochukwu Dennis Sunday Ezema, M.D.
• Family Wellness Clinic LLC
• Firat Dimensions, Inc
• First Orthopaedics of South Louisiana LLC
• Jeffrey C Fitter, MD
• Mallory Noel Fontenot

• Family Medicine Physician in Morgan City, LA
• Providers in Morgan City, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.