Organization Active NPI

Bayou Pain and Spine LLC

  • Pain Medicine Physician
  • Slidell, LA
National Provider Identifier
1972069961
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
BAYOU PAIN AND SPINE LLC
Practice address
1810 Lindberg Dr Ste 3500
Slidell, LA 70458-8161
Phone
(985) 288-5088
Fax
(985) 259-8803
NPI assigned
Feb 14, 2019
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Artemus Flagg II, MDNPI 1427161157
Title
Owner
Phone
(985) 288-5088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

1810 Lindberg Dr Ste 3500
Slidell, LA 70458-8161

Mailing address

PO Box 100
Slidell, LA 70459-0100
Phone (985) 288-5088

Other practice location 1

648 Crestwood Blvd
Covington, LA 70433-8261
Phone (985) 288-5088

Other practice location 2

15739 Professional Plz
Hammond, LA 70403-1452
Phone (985) 288-5088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190313002579 LA Part B Supplier - Clinic/Group Practice 0648510438 Receives reassigned benefits from 3 practitioners
Practice locations: Covington, LA; Hammond, LA; Slidell, LA

National Provider Directory

National Provider Directory

Locations

1810 Lindberg Dr
Ste 3500
Slidell, LA 70458
Phone (985) 288-5088

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1972069961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704590100",
            "telephone_number": "985-288-5088",
            "fax_number": "985-259-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 LINDBERG DR STE 3500",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588161",
            "telephone_number": "985-288-5088",
            "fax_number": "985-259-8803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 Crestwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704338261",
            "country_code": "US",
            "telephone_number": "985-288-5088",
            "fax_number": "985-259-8803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15739 Professional Plz",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031452",
            "country_code": "US",
            "telephone_number": "985-288-5088",
            "fax_number": "985-259-8803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYOU PAIN AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "ARTEMUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-288-5088",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.