NPIMap

Individual provider Active NPI

James L Connolly, M.D.

  • Facial Plastic Surgery Physician
  • Mandeville, LA
National Provider Identifier
1972589448
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
MD205818 Issued in LA
Practice address
1420 N Causeway Blvd
Mandeville, LA 70471-3104
Phone
(985) 327-5905
Fax
(985) 200-0840
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME92995 FL
Facial Plastic Surgery Physician 207YS0123X MD205818 LA Primary

Addresses

Primary practice location

1420 N Causeway Blvd
Mandeville, LA 70471-3104

Mailing address

1420 N Causeway Blvd
Mandeville, LA 70471-3104
Phone (985) 327-5905

Other identifiers 2

IdentifierTypeStateIssuer
256408YKENOtherLAMEDICARE PTAN
2728320000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121108000408 LA Practitioner - Otolaryngology 2860421401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in New Orleans, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Louisiana ENT, Facial Plastic and Hair Restoration, Apmc 11 clinicians

Practice addresses (Care Compare)

1420 N Causeway Blvd
Mandeville, LA 70471-3104
Phone (985) 327-5905

16038 Doctors Blvd
Hammond, LA 70403-1478
Phone (985) 327-5905

71205 Hwy 21
Covington, LA 70433-7121
Phone (985) 327-5905

Hospital & facility affiliations

  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Our Lady of the Lake Surgical Hospital Hospital, Slidell, LA, CCN 190270
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92995FLMDOtolaryngology Physician
MD205818LAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Louisiana ENT, Facial Plastic & Hair Restoration, Apmc Facial Plastic Surgery CurrentSince Dec 1, 2012 Accepting new patients
Sleep Rite PSG LLC CurrentSince Jul 1, 2014 Accepting new patients
Premier After Hours Past Accepting new patients
Sleep Rite DME, LLC Past Accepting new patients
Century Oak Anesthesia, LLC PastSince Nov 18, 2025 Accepting new patients

Locations

8251 Summa Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 766-5656

71205 Highway 21
Covington, LA 70433
Phone (985) 327-5905

15706 Professional Plz
Hammond, LA 70403
Phone (985) 542-2521

16038 Doctors Blvd
Hammond, LA 70403
Phone (985) 327-5905

1420 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 273-5795

8814 Veterans Memorial Blvd
#3304
Metairie, LA 70003
Phone (225) 766-5656

3216 N Turnbull Dr
#B
Metairie, LA 70002
Phone (504) 885-6932

1258 Brownswitch Rd
Ste A
Slidell, LA 70461
Phone (985) 327-5905

Organizations & group practices 5

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 10

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1972589448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713104",
            "telephone_number": "985-327-5905",
            "fax_number": "985-200-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713104",
            "telephone_number": "985-327-5905",
            "fax_number": "985-200-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME92995",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "LA",
            "license": "MD205818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "256408YKEN",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2728320000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.