Individual provider Active NPI

Ashley Lynn Greenman, M.D.

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1962791699
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD205514 Issued in LA
Practice address
217 Sam Houston Jones Pkwy Ste 104
Lake Charles, LA 70611-5644
Phone
(337) 480-8989
Fax
(337) 480-8988
NPI assigned
Apr 4, 2011
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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 MD205514 LA Primary

Addresses

Primary practice location

217 Sam Houston Jones Pkwy Ste 104
Lake Charles, LA 70611-5644

Mailing address

PO Box 122539 Dept 2539
Dallas, TX 75312-2539
Phone (337) 494-2921

Other practice location 1

2750 Aster St
Lake Charles, LA 70601-8824
Phone (337) 480-8900

Other practice location 2

1890 W Gauthier Rd Ste 155
Lake Charles, LA 70605-7119
Phone (337) 480-5550

Other identifiers 2

IdentifierTypeStateIssuer
2150286MedicaidLA
MD.205514OtherLASTATE MEDICAL LICENSE

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
I20141211000873 LA Practitioner - Family Practice 3870730724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

217 Sam Houston Jones Pkwy
Suite 104
Lake Charles, LA 70611-5644
Phone (337) 480-8989

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD205514LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Medical Services Family Practice Associates, LLC Family Medicine CurrentSince Sep 14, 2014 Accepting new patients

Locations

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1890 W Gauthier Rd
Ste 155
Lake Charles, LA 70605
Phone (337) 477-6061

217 Sam Houston Jones Pkwy
Ste 104
Lake Charles, LA 70611
Phone (337) 480-8989

2750 Aster St
Lake Charles, LA 70601
Phone (337) 480-8900

2800 2nd Ave
Ste C
Lake Charles, LA 70601
Phone (337) 474-2082

Interoperability endpoints

  • Direct secure messaging: agrrenman5281909@direct.casso.us.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1962791699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122539 DEPT 2539",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122539",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SAM HOUSTON JONES PKWY STE 104",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115644",
            "telephone_number": "337-480-8989",
            "fax_number": "337-480-8988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 Aster St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018824",
            "country_code": "US",
            "telephone_number": "337-480-8900",
            "fax_number": "337-480-8901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1890 W Gauthier Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706057119",
            "country_code": "US",
            "telephone_number": "337-480-5550",
            "fax_number": "337-480-5568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENMAN",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD205514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150286",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD.205514",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.